Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nusrat Ali Khan, MD

Individual provider Pediatrics Physician · NPI 1316053408

Dr. Nusrat Ali Khan, MD is an Internal Medicine in Willow Park, Texas. Graduated from Brody School of Medicine at East Carolina University in 1998, 28 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
28
Trained at
Brody School of Medicine at East Carolina University
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5077 E Interstate 20 Service Rd N
Willow Park, TX 76087-3219
Phone: (817) 374-4949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence M5284 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence M5284 (TX)

Record details

NPI number1316053408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 22, 2006
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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