Active NPI
Joseph Anthony Khawly, MD
- Ophthalmology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- K3773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1343584-06 | Medicaid | TX | |
| 134358408 | Medicaid | TX | |
| 134358410 | Medicaid | TX | |
| 134358414 | Medicaid | TX | |
| 134358413 | Medicaid | TX | |
| 1215919998 | Other | TX | NPI |
| 134358412 | Medicaid | TX | |
| 134358411 | Medicaid | TX |
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
- Ophthalmology
- Education
- Duke University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K3773 | TX | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina and Vitreous of Texas PLLC | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Bellaire, TX
- NPI 1003892597
-
- Ophthalmology Physician
- Houston, TX
- NPI 1740286186
-
- Optometrist
- Houston, TX
- NPI 1255338612
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.