Active NPI
Fatima Khalid, M.D.
- Nephrology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 277251
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 856-3155
- Fax
- (508) 856-3111
- NPI assigned
- Aug 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 277251 | MA | Primary |
| Internal Medicine Physician | 207R00000X | 2015-01572 | NC | |
| Nephrology Physician | 207RN0300X | U9006 | TX |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
85 Prescott St
Worcester, MA 01605-2610
Phone (508) 856-3155
Other practice location 2
6550 Fannin St Ste 2137
Houston, TX 77030-2722
Phone (713) 790-1032
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fkhalid252409@direct.novanthealth.org | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | fkhalid283733@UmassMemorial.direct-ci.com |
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
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6550 Fannin St
Suite 2137
Houston, TX 77030-2722
Phone (713) 790-1032
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.15 of 100
- Quality
- 18.01
- Promoting interoperability
- 100
- Improvement activities
- 0
- Cost
- 74.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277251 | MA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Kidney and Hypertension Consultants of Houston PA | Nephrology | Current | Accepting new patients |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Michael F Campbell MD PA | Nephrology | Past | Accepting new patients |
Locations
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
6550 Fannin St
Ste 2137
Houston, TX 77030
Phone (713) 492-7622
Interoperability endpoints
- fkhalid283733@umassmemorial.direct-ci.com
Organizations & group practices 5
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.
-
- Nephrology Physician
- Houston, TX
- NPI 1871818997
-
- Internal Medicine Physician
- North Adams, MA
- NPI 1205164951
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
-
- Nephrology Physician
- Houston, TX
- NPI 1477662625
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
-
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1134434210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-856-3155",
"fax_number": "508-856-3111"
}
],
"practiceLocations": [
{
"address_1": "85 Prescott St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052610",
"country_code": "US",
"telephone_number": "508-856-3155",
"fax_number": "508-856-3111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6550 Fannin St Ste 2137",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302722",
"country_code": "US",
"telephone_number": "713-790-1032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALID",
"first_name": "FATIMA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MA",
"license": "277251",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2015-01572",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "U9006",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fkhalid252409@direct.novanthealth.org",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fkhalid283733@UmassMemorial.direct-ci.com",
"affiliation": "N",
"address_1": "55 Lake Ave N",
"city": "Worcester",
"state": "MA",
"country_code": "US",
"postal_code": "016550002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.