NPIMap

Individual provider Active NPI

Adam Khadbai, M.D.

  • Family Medicine Physician
  • Weatherford, TX
National Provider Identifier
1144588401
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q6043 Issued in TX
Practice address
933 Hilltop Dr
Suite 100
Weatherford, TX 76086-8807
Phone
(817) 341-7670
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q6043 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

933 Hilltop Dr
Suite 100
Weatherford, TX 76086-8807

Mailing address

933 Hilltop Dr Ste 100
Weatherford, TX 76086-8808
Phone (817) 341-7670

Other identifiers 1

IdentifierTypeStateIssuer
354905702MedicaidTX

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
I20151221002143 TX Practitioner - Family Practice 9931400736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Star Family Medicine PLLCGroup PAC ID 7315296639, 2 clinicians

Practice addresses (Care Compare)

929 Hilltop Dr
Weatherford, TX 76086-5845
Phone (817) 341-7670

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group Family Medicine CurrentSince Nov 11, 2015 Accepting new patients
Timberland Medical Group CurrentSince Nov 11, 2015 Accepting new patients
Texas Health Care, P.L.L.C. Family Medicine Past Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

933 Hilltop Dr
Ste 100
Weatherford, TX 76086
Phone (817) 341-7302

929 Hilltop Dr
Weatherford, TX 76086
Phone (817) 341-7670

Interoperability endpoints

  • Direct secure messaging: adam.khadbai.1@17729.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1144588401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 HILLTOP DR STE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760868808",
            "telephone_number": "817-341-7670",
            "fax_number": "817-341-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 HILLTOP DR",
            "address_2": "SUITE 100",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760868807",
            "telephone_number": "817-341-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADBAI",
        "first_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q6043",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354905702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.