Individual provider Active NPI

Jessica Kabal Khabra, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1073178000
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V8300 Issued in TX
Practice address
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone
(817) 796-7370
NPI assigned
May 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME155466 FL
Family Medicine Physician 207Q00000X V8300 TX Primary

Addresses

Primary practice location

4115 E Lancaster Ave
Fort Worth, TX 76103-3614

Mailing address

PO Box 746079
Atlanta, GA 30374-6079

Other practice location 1

13235 State Road 52 Ste 102
Hudson, FL 34669-2968
Phone (727) 378-8503

Other names 1

  • Jessica Kabal Singh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220303000471 FL Practitioner - Internal Medicine 9931593258
I20250513003812 TX Practitioner - Internal Medicine 9931593258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075

319 S Cedar Ridge Dr
Duncanville, TX 75116-4526
Phone (972) 584-0700

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370

Merit-based Incentive Payment System (MIPS)

Final score
22.95 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V8300TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Family Medicine CurrentSince May 19, 2025 Accepting new patients
Access Health Care Physicians LLC Family Medicine CurrentSince Jan 25, 2022 Accepting new patients

Locations

13235 State Road 52
Ste 102
Hudson, FL 34669
Phone (727) 378-8503

634 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 334-6201

13220 Belcher Rd S
Unit 11
Largo, FL 33773
Phone (727) 533-2242

5350 Spring Hill Dr
Spring Hill, FL 34606
Phone (352) 688-8116

11075 Spring Hill Dr
Spring Hill, FL 34608
Phone (352) 688-8000

14690 Spring Hill Dr
Ste 305
Spring Hill, FL 34609
Phone (352) 277-5348

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1073178000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033614",
            "telephone_number": "817-796-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13235 State Road 52 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346692968",
            "country_code": "US",
            "telephone_number": "727-378-8503",
            "fax_number": "727-857-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHABRA",
        "first_name": "JESSICA",
        "middle_name": "KABAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME155466",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V8300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SINGH",
            "middle_name": "KABAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.