Active NPI
Michael Saul Khazzam, MD
- Orthopaedic Surgery Physician
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- N9576
- Practice address
- 1631 Lancaster Dr Ste 230
Grapevine, TX 76051-3586 - Phone
- (469) 800-7200
- Fax
- (469) 800-7210
- NPI assigned
- Aug 22, 2006
- Last updated
- Mar 27, 2025
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | T2005031078 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | N9576 | TX | Primary |
Addresses
Primary practice location
1631 Lancaster Dr Ste 230
Grapevine, TX 76051-3586
Mailing address
1631 Lancaster Dr Ste 230
Grapevine, TX 76051-3586
Phone (469) 800-7200
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
- Orthopedic Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 W College St
Suite 490
Grapevine, TX 76051-2106
Phone (817) 310-0869
1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440
3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100
4001 Worth St
Dallas, TX 75246-1608
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
Hospital & facility affiliations
- Baylor Scott & White Medical Center Grapevine
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
- Methodist Hospital for Surgery
- Baylor Scott & White Institute for Rehabilitation
- Baylor Institute for Rehabilitation at Frisco
- Baylor Institute for Rehabilitation at Fort Worth
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T2005031078 | MO | MD | Orthopaedic Surgery Physician |
| N9576 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Orthopaedic Surgery | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients | |
| Sports Medicine & Orthopedic Center, S.C. | Past | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100
301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
12400 Dallas Pkwy
Frisco, TX 75033
Phone (469) 495-2000
1631 Lancaster Dr
Ste 230
Grapevine, TX 76051
Phone (817) 329-2555
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- mkhazzam1360676@direct.sw.org
- mkhazzam1663970@direct.texashealth.org
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
dba One Medical with Baylor Scott & White Health
- Family Medicine Physician
- Fort Worth, TX
- NPI 1992429161
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Orthopaedic Surgery Physician
- Dallas, TX
- NPI 1083669766
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Durable Medical Equipment & Medical Supplies
- Grapevine, TX
- NPI 1417895210
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Greenfield, WI
- NPI 1164411997
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Grapevine
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
-
dba Baylor Institute for Rehabilitation at Fort Worth
- Rehabilitation Hospital
- Fort Worth, TX
- NPI 1396902540
Inpatient rehabilitation facility
-
dba Methodist Hospital for Surgery
- General Acute Care Hospital
- Addison, TX
- NPI 1023338142
-
dba UT Southwestern University Hospital
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1093821902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 LANCASTER DR STE 230",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513586",
"telephone_number": "469-800-7200",
"fax_number": "469-800-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 LANCASTER DR STE 230",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513586",
"telephone_number": "469-800-7200",
"fax_number": "469-800-7210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAZZAM",
"first_name": "MICHAEL",
"middle_name": "SAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "T2005031078",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "N9576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.