NPIMap

Individual provider Active NPI

Mohamed Khalil, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1073924213
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
S3407 Issued in TX
Practice address
1401 St. Joseph Parkaway
Houston, TX 77002
Phone
(713) 798-4661
Fax
(713) 798-5838
NPI assigned
May 9, 2014
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X S3407 TX Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X BP10050658 TX

Addresses

Primary practice location

1401 St. Joseph Parkaway
Houston, TX 77002

Mailing address

One Baylor Plaza
286A
Houston, TX 77030-3411
Phone (713) 798-4661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827001455 TX Practitioner - Pathology 2567889157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-5000

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 867-2000

27800 Northwest Fwy
Cypress, TX 77433-5302
Phone (346) 231-4000

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5000

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (281) 364-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.55 of 100Reported as group
Quality
81.43
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10050658TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2020 Accepting new patients
Memorial Pathology Consultants PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Memorial Pathology Consultants, PA Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2024 Accepting new patients
Baylor Pathology Past Accepting new patients
Baylor Pathology Anatomic Pathology & Clinical Pathology Past Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

7600 Beechnut St
Fl 2
Houston, TX 77074
Phone (713) 456-5000

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 6

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1073924213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BAYLOR PLAZA",
            "address_2": "286A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "713-798-4661",
            "fax_number": "713-798-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ST. JOSEPH PARKAWAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77002",
            "telephone_number": "713-798-4661",
            "fax_number": "713-798-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MOHAMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "S3407",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "BP10050658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.