Active NPI
Mohammad Atif Khalid, M.D.
- Diagnostic Radiology Physician
- Fanwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 233108
- Practice address
- 64 Shady LN
Fanwood, NJ 07023-1719 - Phone
- (585) 410-6266
- NPI assigned
- Oct 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 233108 | NY | Primary |
| Diagnostic Radiology Physician | 2085R0202X | A99797 | CA |
Addresses
Primary practice location
64 Shady LN
Fanwood, NJ 07023-1719
Mailing address
64 Shady LN
Fanwood, NJ 07023-1719
Phone (585) 410-6266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02564818 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pecos County Memorial Hospital District
Practice addresses (Care Compare)
Irving, TX 75038
Phone (972) 870-5511
1750 N Hampton Rd
Desoto, TX 75115-2306
Phone (214) 420-5400
2975 E Broad St
Suite 101
Mansfield, TX 76063-9147
Phone (214) 420-5445
387 W Ih
Suite 10
Fort Stockton, TX 79735
Phone (432) 336-2058
4140 E Renner Rd
Suite 100
Richardson, TX 75082-2807
Phone (972) 920-0115
4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone (713) 795-4884
540 W 15TH St
Hereford Regional Medical Center
Hereford, TX 79045-2820
Phone (806) 364-4377
7300 Eldorado Pkwy
Suite 170
McKinney, TX 75070-7895
Phone (972) 920-0150
8080 Independence Pkwy
Suite 105
Plano, TX 75025-4003
Phone (972) 208-1858
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A99797 | CA | MD | Diagnostic Radiology Physician |
| 233108 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Hospital Physician Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Biotech X-Ray, Inc. | Current | Accepting new patients | |
| Pecos County Memorial Hospital District | Current | Accepting new patients | |
| Radiology Associates of North Texas, PA | Diagnostic Radiology | Current | Accepting new patients |
| Mobile Images Acquisition, LLC | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Advanced Surgeons & Physicians Network, Inc. | Current | Accepting new patients | |
| BTX Koi Inc | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Deaf Smith County Hospital District | Current | Accepting new patients | |
| All-Stat Portable Mi LLC | Current | Accepting new patients | |
| Methodist-Cdi | Diagnostic Radiology | Current | Accepting new patients |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Pecos County Memorial Hospital District | Current | Accepting new patients | |
| Deaf Smith County Hospital District | Current | Accepting new patients | |
| Methodist-Cdi | Diagnostic Radiology | Current | Accepting new patients |
| Merit Radiology PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Methodist-Cdi | Diagnostic Radiology | Current | Accepting new patients |
| Roadrunner Ultrasound Equipment, LLC | Current | Accepting new patients | |
| Mobile Medical Imaging, LLC | Past | Accepting new patients | |
| Borg & Ide Imaging, PC | Diagnostic Radiology | Past | Accepting new patients |
| All-Stat Portable MD LLC | Past | Accepting new patients | |
| Biotech X-Ray Inc | Past | Accepting new patients | |
| Xcel Diagnostics LLC | Past | Accepting new patients | |
| Mobile Images Acquisition, LLC | Past | Accepting new patients | |
| Borg Imaging Group LLP | Past | Accepting new patients | |
| All-Stat Portable MD LLC | Past | Accepting new patients | |
| BTX Koi Inc | Past | Accepting new patients | |
| Dav-Kim Portable X Ray Service Co | Past | Accepting new patients |
Locations
9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121
1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400
387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141
101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500
4140 Southwest Fwy
Houston, TX 77027
Phone (713) 650-1900
4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
4545 Fuller Dr
Irving, TX 75038
Phone (972) 870-5511
2975 E Broad St
Ste 101
Mansfield, TX 76063
Phone (214) 420-5445
8080 Independence Pkwy
Ste 105
Plano, TX 75025
Phone (972) 208-1858
Interoperability endpoints
- mohammad.khalid.1@32913.direct.athenahealth.com
Organizations & group practices 32
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1508030917
-
- General Acute Care Hospital
- Hereford, TX
- NPI 1568454403
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1164829214
-
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1548892714
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Carrollton, TX
- NPI 1326819145
-
- Critical Access Hospital
- Fort Stockton, TX
- NPI 1073200309
-
- Family Medicine Physician
- Fort Stockton, TX
- NPI 1386400232
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
-
- Critical Access Hospital
- Denver City, TX
- NPI 1790702371
-
- Critical Access Hospital
- Seminole, TX
- NPI 1821025990
-
- Mobile Radiology Clinic/Center
- Saint Joseph, MI
- NPI 1871234815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1073503058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 SHADY LN",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231719",
"telephone_number": "585-410-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 SHADY LN",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231719",
"telephone_number": "585-410-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALID",
"first_name": "MOHAMMAD",
"middle_name": "ATIF",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "233108",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A99797",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02564818",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fanwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.