SHAHRUKH HUSSAIN KHAN (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1659631869

Critical Care Medicine (Internal Medicine) Physician

SHAHRUKH HUSSAIN KHAN (MD) is a healthcare provider. based in Southlake, Texas. specializing in CRITICAL CARE (INTENSIVISTS), PULMONARY DISEASE, INTERNAL MEDICINE, INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. Q3013 (TX). The NPI Number for SHAHRUKH HUSSAIN KHAN (MD) is 1659631869

Main info

Male

16 Years Of Experience

Accepts Medicare Assignment

Name

SHAHRUKH HUSSAIN KHAN (MD)

NPI

1659631869

Phone

(313) 578-1121

Address

519 NORTHWOOD TRL

Enumeration Date

22 May 2012

Last Update Date

30 April 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2010 (16 years ago)

PAC ID

1052632692

Group Practice PAC ID

1355254210

Professional Enrollment ID

I20150608001057

Address ID

TX752461608DA4001XSTXX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness75

Years active:14State licenses:1Digital endpointsOther names

1,360 CRITICAL CARE (INTENSIVISTS) in TX

Provider Addresses for SHAHRUKH HUSSAIN KHAN (MD)

519 NORTHWOOD TRL
SOUTHLAKE, TX 760927427
Phone: (313) 578-1121
Type: Mailing
4214 ANDREWS HWY STE 240
MIDLAND, TX 797034817
Phone: (432) 221-4243
Fax: (432) 221-5981
Type: Mailing
400 ROSALIND REDFERN GROVER PKWY
MIDLAND, TX 797015846
Phone: (432) 221-1111
Type: Location
1403 Exeter Ct
Southlake, TX 760924219
Phone: (313) 578-1121
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20150608001057	I	Critical Care (Intensivists)	TX	TBD
I20250514002278	I	Internal Medicine	AL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99291	Critical care, first 30-74 minutes	280	125	$0
76937	Ultrasonic guidance for blood vessel access	15	14	$0

View full utilization report →

Insurance plans in this area (ZIP 76092)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1355254210View full group profile

Name	Specialty	State
MICHAL J. WOLSKI (MD)	Radiation Oncology	TX
SUSAN C. CHESIRE (ANP)	Nurse Practitioner	TX
SEAN ALLAN TOWNSEND (M.D.)	Internal Medicine	TX
SHARHONDA BLUE (PA-C)	-	TX
DR. CHRISTIAN ANN LANCE (M.D.)	-	TX
BARBARA PSARAS LUCENTE (LCSW)	Clinical Social Worker	TX
GRETA JO KISSEL (AGACNP)	-	TX
SUMANT G KRISHNAN (M.D.)	Orthopedic Surgery	TX
ERIC NATHAN SMERNOFF (PH. D.)	Clinical Psychologist	TX
DR. SURESH VEMULA (MD)	Internal Medicine	TX

Reviews

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Frequently asked questions

Does SHAHRUKH HUSSAIN KHAN (MD) have a public NPI I can cite?

Public records show SHAHRUKH HUSSAIN KHAN (MD) under NPI 1659631869.

Quick check: is SHAHRUKH HUSSAIN KHAN (MD) active?

Public NPPES data shows SHAHRUKH HUSSAIN KHAN (MD) with an active NPI status right now.

What type of care does SHAHRUKH HUSSAIN KHAN (MD) provide?

SHAHRUKH HUSSAIN KHAN (MD)'s profile centers on Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.

Is SHAHRUKH HUSSAIN KHAN (MD) tied to Southlake, Texas?

If you are local to Southlake, Texas, SHAHRUKH HUSSAIN KHAN (MD) may be relevant to your search.

Can I export SHAHRUKH HUSSAIN KHAN (MD)'s record?

You can download the official NPPES record; we summarize key fields for readability.