Individual provider Active NPI

Joseph Anthony Khawly, MD

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1215919998
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K3773 Issued in TX
Practice address
2727 Gramercy St
Suite 200
Houston, TX 77025-1633
Phone
(713) 799-9975
Fax
(713) 799-1095
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K3773 TX Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X K3773 TX

Addresses

Primary practice location

2727 Gramercy St
Suite 200
Houston, TX 77025-1633

Mailing address

PO Box 4069
Dept. 4069-1
Houston, TX 77210-4069
Phone (713) 799-9975

Other identifiers 8

IdentifierTypeStateIssuer
1343584-06MedicaidTX
134358408MedicaidTX
134358410MedicaidTX
134358414MedicaidTX
134358413MedicaidTX
1215919998OtherTXNPI
134358412MedicaidTX
134358411MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201000853 TX Practitioner - Ophthalmology 9032139266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina and Vitreous of Texas PLLCGroup PAC ID 7911895511, 9 clinicians

Practice addresses (Care Compare)

6565 W Loop S
Suite 400
Bellaire, TX 77401-3510
Phone (713) 799-9975

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3773TXMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina and Vitreous of Texas PLLC Ophthalmology CurrentSince Aug 28, 1997 Accepting new patients
Berkeley Eye Institute, PLLC Ophthalmology Past Accepting new patients
Clear Lake Eye Center LLP Past Accepting new patients

Locations

350 Pine St
Ste 330
Beaumont, TX 77701
Phone (409) 951-6179

6565 West Loop S
Ste 400
Bellaire, TX 77401
Phone (713) 589-6879

1205 S Austin St
Brenham, TX 77833
Phone (979) 251-9988

100 Medical Center Blvd
Ste 218
Conroe, TX 77304
Phone (926) 539-2882

2727 Gramercy St
Ste 200
Houston, TX 77025

19747 Highway 59 N
Ste 320
Humble, TX 77338
Phone (281) 548-0095

750 Westgreen Blvd
Ste 250
Katy, TX 77450

1105 W Frank Ave
Ste 300
Lufkin, TX 75904

2734 Sunrise Blvd
Ste 303
Pearland, TX 77584

15200 Southwest Fwy
Ste 292
Sugar Land, TX 77478
Phone (281) 431-5511

455 School St
Ste 47
Tomball, TX 77375
Phone (281) 351-7483

101 W Goodwin Ave
Ste 430
Victoria, TX 77901

920 Clear Lake City Blvd
Ste 200
Webster, TX 77598

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1215919998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4069",
            "address_2": "DEPT. 4069-1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104069",
            "telephone_number": "713-799-9975",
            "fax_number": "713-799-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 GRAMERCY ST",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251633",
            "telephone_number": "713-799-9975",
            "fax_number": "713-799-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWLY",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K3773",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "K3773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1343584-06",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134358408",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134358410",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134358414",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134358413",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215919998",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134358412",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134358411",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.