Individual provider Active NPI

Mohammad Atif Khalid, M.D.

  • Diagnostic Radiology Physician
  • Fanwood, NJ
National Provider Identifier
1073503058
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
233108 Issued in NY
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

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02564818MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231019000886 TX Practitioner - Diagnostic Radiology 7214915024 Reassigns benefits to 13 organizations

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
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians
Methodist-CdiGroup PAC ID 3072836600, 43 clinicians
Pecos County Memorial Hospital DistrictGroup PAC ID 3173977477, shared by 7 NPIs, 32 clinicians
Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians
Deaf Smith County Hospital DistrictGroup PAC ID 8123923497, 48 clinicians

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

LicenseStateTypeSpecialty
A99797CAMDDiagnostic Radiology Physician
233108NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Hospital Physician Group Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Biotech X-Ray, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Pecos County Memorial Hospital District Current Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Dec 4, 2023 Accepting new patients
Mobile Images Acquisition, LLC CurrentSince Jul 14, 2025 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Dec 4, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Advanced Surgeons & Physicians Network, Inc. CurrentSince Feb 9, 2026 Accepting new patients
BTX Koi Inc CurrentSince Mar 28, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Sep 29, 2024 Accepting new patients
Deaf Smith County Hospital District CurrentSince Nov 6, 2025 Accepting new patients
All-Stat Portable Mi LLC CurrentSince Aug 1, 2024 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Sep 29, 2024 Accepting new patients
Pecos County Memorial Hospital District CurrentSince Aug 8, 2025 Accepting new patients
Deaf Smith County Hospital District CurrentSince Nov 6, 2025 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Merit Radiology PLLC Diagnostic Radiology CurrentSince Jan 7, 2026 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Roadrunner Ultrasound Equipment, LLC CurrentSince Dec 12, 2025 Accepting new patients
Mobile Medical Imaging, LLC Past Accepting new patients
Borg & Ide Imaging, PC Diagnostic Radiology PastSince Aug 6, 1997 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

  • Direct secure messaging: 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.

View all 32

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

Verify at the official NPI Registry.