Individual provider Active NPI

Said Hafez Khayyata, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • El Paso, TX
National Provider Identifier
1154521482
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
T3630 Issued in TX
Practice address
4815 Alameda Ave
El Paso, TX 79905-2705
Phone
(915) 215-4956
Fax
(915) 215-4770
NPI assigned
Jul 24, 2007
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X T3630 TX
Immunopathology Physician 207ZI0100X 35-093393 OH
Neuropathology Physician 207ZN0500X 35-093393 OH
Molecular Genetic Pathology (Pathology) Physician 207ZP0007X 35-093393 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35-093393 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301081938 MI
Chemical Pathology Physician 207ZP0104X 35-093393 OH
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 35-093393 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X T3630 TX Primary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 35-093393 OH
Clinical Pathology Physician 207ZC0006X 35-093393 OH
Cytopathology Physician 207ZC0500X 4301081938 MI
Clinical Pathology Physician 207ZC0006X 4301081938 MI
Cytopathology Physician 207ZC0500X 35-093393 OH
Blood Banking & Transfusion Medicine Physician 207ZB0001X 4301081938 MI

Addresses

Primary practice location

4815 Alameda Ave
El Paso, TX 79905-2705

Mailing address

26901 Beaumont Blvd
Suite 3D
Southfield, MI 48033-3849
Phone (947) 522-1861

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-9060

Other identifiers 1

IdentifierTypeStateIssuer
2936756MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shafezkhayyata48452@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110713000220 MI Practitioner - Pathology 2961555743 Reassigns benefits to 1 organization
I20250326000508 TX Practitioner - Pathology 2961555743 Reassigns benefits to 1 organization
I20250815004573 FL Practitioner - Pathology 2961555743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

18101 Oakwood Blvd
Dearborn, MI 48124-4089

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8196

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4234

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187

44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301081938MIMDClinical Pathology Physician
35-093393OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2025 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Jan 13, 2020 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Apr 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Ruffolo Hooper & Associates MD PA Cytopathology CurrentSince Jun 16, 2025 Accepting new patients

Locations

5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

5751 Hoover Blvd
Tampa, FL 33634

5755 Hoover Blvd
Tampa, FL 33634

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

3601 W 13 Mile Rd
Royal Oak, MI 48073

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Interoperability endpoints

  • Direct secure messaging: shafezkhayyata2949048@carolinashealthcaresystem.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1154521482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "address_2": "SUITE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1861",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ALAMEDA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052705",
            "telephone_number": "915-215-4956",
            "fax_number": "915-215-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-9060",
            "fax_number": "485-510-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAYYATA",
        "first_name": "SAID",
        "middle_name": "HAFEZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "T3630",
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "",
            "desc": "Pathology, Immunopathology",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301081938",
            "primary": false
        },
        {
            "code": "207ZP0104X",
            "taxonomy_group": "",
            "desc": "Pathology, Chemical Pathology",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "T3630",
            "primary": true
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MI",
            "license": "4301081938",
            "primary": false
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "MI",
            "license": "4301081938",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "OH",
            "license": "35-093393",
            "primary": false
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "MI",
            "license": "4301081938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2936756",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shafezkhayyata48452@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "3601 W 13 Mile Rd",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.