Individual provider Active NPI

Khaldun M Khatib, M.D., PH.D.

  • Gastroenterology Physician
  • Greenville, TX
National Provider Identifier
1235352899
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
N5774 Issued in TX
Practice address
4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856
Phone
(903) 408-7980
Fax
(903) 408-7989
NPI assigned
Apr 11, 2007
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X N5774 TX Primary
Hepatology Physician 207RI0008X N5774 TX

Addresses

Primary practice location

4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856

Mailing address

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5834

Other identifiers 1

IdentifierTypeStateIssuer
213701002MedicaidTX

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
I20100805000536 TX Practitioner - Gastroenterology 3678628245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Regional Medical Partners SpecialistsGroup PAC ID 7810226115, 17 clinicians
Hunt Memorial Hospital DistrictGroup PAC ID 6406768936, 36 clinicians

Practice addresses (Care Compare)

4211 Joe Ramsey Blvd E
Suite 100
Greenville, TX 75401-7856
Phone (903) 408-7771

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy274
Upper gastrointestinal (GI) endoscopy for acid reflux295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
N5774TXMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1043930738 CurrentSince May 17, 2011 Accepting new patients
Hunt Regional Medical Partners Current Accepting new patients
Hunt Regional Medical Partners Specialists CurrentSince Sep 1, 2019 Accepting new patients
Hunt Regional Medical Partners CurrentSince May 17, 2011 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jul 1, 2024 Accepting new patients

Locations

4211 Joe Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-7700

4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

501 Air Park Ave
Greenville, TX 75402
Phone (800) 806-2067

734 E Quinlan Pkwy
#A
Quinlan, TX 75474
Phone (903) 356-2144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9148/brand/1/csg/1/fhir/r4
  • Direct secure messaging: khaldun.khatib.1@9148.direct.athenahealth.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 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1235352899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5834",
            "fax_number": "903-408-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E STE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017856",
            "telephone_number": "903-408-7980",
            "fax_number": "903-408-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "KHALDUN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N5774",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "TX",
            "license": "N5774",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213701002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.