Individual provider Active NPI

Muhammad Asim Khalil, M.D.

  • Hematology & Oncology Physician
  • Beaumont, TX
National Provider Identifier
1184038598
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
U4838 Issued in TX
Practice address
3555 Stagg Dr
Beaumont, TX 77701-4509
Phone
(409) 212-5922
Fax
(409) 212-5190
NPI assigned
Jun 13, 2014
Last updated
Oct 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 307294 LA
Internal Medicine Physician 207R00000X 4301105523 MI
Internal Medicine Physician 207R00000X E-11755 AR
Hematology & Oncology Physician 207RH0003X U4838 TX Primary
Hospitalist Physician 208M00000X E-11755 AR

Addresses

Primary practice location

3555 Stagg Dr
Beaumont, TX 77701-4509

Mailing address

3555 Stagg Dr
Beaumont, TX 77701-4509
Phone (409) 212-5922

Other practice location 1

1808 W Main St
Russellville, AR 72801-2724
Phone (479) 964-4178

Other practice location 2

17000 Medical Center Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181211000968 AR Practitioner - Internal MedicinePractitioner - Hematology/Oncology 4880950401 Reassigns benefits to 9 organizations
I20230817002316 TX Practitioner - Internal Medicine 4880950401 Reassigns benefits to 1 organization

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
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

3555 Stagg Dr
Beaumont, TX 77701-4509
Phone (409) 212-5922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-11755ARMDInternal Medicine Physician
307294LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HCC of El Dorado LLC Hospitalist CurrentSince Nov 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 14, 2018 Accepting new patients
St Marys Physician Services, LLC CurrentSince Sep 1, 2022 Accepting new patients
St Mary's Physician Services LLC Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 14, 2018 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Jun 25, 2021 Accepting new patients
Baptist Physician Network CurrentSince Aug 1, 2023 Accepting new patients
University of Arkansas for Medical Sciences Internal Medicine Current Accepting new patients
Emergency Staffing Solutions Region III CurrentSince Nov 16, 2022 Accepting new patients
Ess of El Dorado, LLC CurrentSince Nov 1, 2021 Accepting new patients
Ess Hospitalist LLC Hospitalist CurrentSince Jun 25, 2021 Accepting new patients
Arkansas Health Group Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Arkansas Health Group CurrentSince Jun 1, 2021 Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients
Baptist Health Hematology & Oncology Past Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

9601 Interstate 630
#7
Little Rock, AR 72205
Phone (501) 202-3995

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

1701 Club Manor Dr
#2B
Maumelle, AR 72113

1701 Club Manor Dr
Ste 2B
North Little Rock, AR 72113
Phone (501) 349-7094

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

310 N 11th St
Beaumont, TX 77702
Phone (409) 212-5510

3180 College St
Beaumont, TX 77701
Phone (409) 212-5922

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

3555 Stagg Dr
Fl 1
Beaumont, TX 77701

Interoperability endpoints

  • Direct secure messaging: mkhalil409505@christushealth.direct-ci.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1184038598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 STAGG DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014509",
            "telephone_number": "409-212-5922",
            "fax_number": "409-212-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 STAGG DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014509",
            "telephone_number": "409-212-5922",
            "fax_number": "409-212-5190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 W Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012724",
            "country_code": "US",
            "telephone_number": "479-964-4178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17000 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708163246",
            "country_code": "US",
            "telephone_number": "225-752-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MUHAMMAD",
        "middle_name": "ASIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-13",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "307294",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301105523",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-11755",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "U4838",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-11755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.