Active NPI
Mahmood Hussain Khichi, M.D.
- Pediatric Critical Care Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 18439
- Practice address
- 6161 S Yale Ave
Picu
Tulsa, OK 74136-1902 - Phone
- (918) 502-6135
- NPI assigned
- Jun 16, 2006
- Last updated
- Mar 23, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 18439 | OK | Primary |
Addresses
Primary practice location
6161 S Yale Ave
Picu
Tulsa, OK 74136-1902
Mailing address
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3347
Phone (918) 488-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Associates Billing, Inc. | Current | Accepting new patients | |
| Pediatric Intensive Care Services Inc | Pediatric Critical Care Medicine | Past | Accepting new patients |
| Integris Baptist Associates | Past | Accepting new patients | |
| Hospital Authority of Jefferson County and the City of Louisville | Past | Accepting new patients | |
| Texas Children's Hospital | Past | Accepting new patients | |
| El Paso Children's Hospital Corporation | Past | Accepting new patients | |
| Hospital Authority of Jefferson County and the City of Louisville | Past | Accepting new patients | |
| Washita Emergency Physicians LLC | Past | Accepting new patients |
Locations
6621 Fannin St
Ste W6006
Houston, TX 77030
Phone (832) 824-5952
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
Interoperability endpoints
- mkhichi7522@direct.saintfrancis.com
Organizations & group practices 9
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.
-
dba Magella Medical Associates
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1205969458
-
- Pediatric Critical Care Medicine Physician
- Oklahoma City, OK
- NPI 1205864253
-
- Emergency Medicine Physician
- Pauls Valley, OK
- NPI 1932159233
-
- Children's Hospital
- El Paso, TX
- NPI 1558659714
-
dba Jefferson Hospital
- Psychiatric Hospital Unit
- Louisville, GA
- NPI 1417554437
-
dba Jefferson Hospital
- General Acute Care Hospital
- Louisville, GA
- NPI 1710992433
-
- Children's Hospital
- Houston, TX
- NPI 1477643690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300838400000",
"number": "1083658447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE",
"address_2": "SUITE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363347",
"telephone_number": "918-488-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6161 S YALE AVE",
"address_2": "PICU",
"city": "TULSA",
"state": "OK",
"postal_code": "741361902",
"telephone_number": "918-502-6135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHICHI",
"first_name": "MAHMOOD",
"middle_name": "HUSSAIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2011-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "OK",
"license": "18439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.