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DR. MIR MUJTABA ALI KHAN D.O.
NPI 1831290923
Internal Medicine in Huntsville, TX

Active since September 25, 2006PECOS Enrolled
179 INTERSTATE 45 S, SUITE 300, HUNTSVILLE, TX 77340(936) 294-0152(936) 294-9600 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mir Mujtaba Ali Khan D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MIR MUJTABA ALI KHAN D.O. (NPI 1831290923) is an individual internal medicine provider in Huntsville, Texas, licensed in Texas (M3450) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1831290923
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MIR MUJTABA ALI KHANCredential: D.O.
Location Address179 INTERSTATE 45 S, SUITE 300Huntsville, TX 77340-4223
Mailing Address179 Interstate 45 S, Suite 300Huntsville, TX 77340-4223 · (936) 294-0152 · Fax (936) 294-9600
Phone(936) 294-0152
Fax(936) 294-9600
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMay 30, 2023
NPPES CertifiedMay 30, 2023
✔ NPI 1831290923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M3450
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
179 INTERSTATE 45 S, Huntsville, TX 77340
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Other Names 1

Professional Name (2)Dr. Mujtaba Ali-khan D.o.

Secondary Practice Location 1

Location 1800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-7264

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mir Mujtaba Ali Khan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DYVETTE L WARREN PAC
Physician Assistant (Medical)
179 INTERSTATE 45 S, SUITE 300
HUNTSVILLE, TX 77340
Walker County (936) 294-0152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mir Ali Khan's NPI number?

The NPI number for Mir Ali Khan is 1831290923. It was assigned to this individual provider in the NPPES registry on September 25, 2006. The provider is also known as Dr. Mujtaba Ali-Khan D.O..

Where is Mir Ali Khan located?

Mir Ali Khan practices at 179 Interstate 45 S Suite 300, Huntsville, TX 77340. The listed phone number is (936) 294-0152.

What is Mir Ali Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mir Ali Khan enrolled in Medicare?

Yes. Mir Ali Khan is registered in the Medicare PECOS enrollment system.

What insurance does Mir Ali Khan accept?

Health plans from CHRISTUS Health Plan list Mir Ali Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mir Ali Khan was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.