OrganizationActive
Medical Care at Home PA Dba Khan Medical Clinic
NPI 1154839652 · Internal Medicine Physician · Willow Park, TX
Provider details
- NPI number
- 1154839652
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nusrat Khan, Medical Director(817) 597-5632
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5077 E Interstate 20 Service Rd N
Willow Park, TX 76087-3219
Phone: (817) 374-4949
Fax: (817) 596-3700
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1313
Weatherford, TX 76086-1313
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.