Individual provider Active NPI

Amira Rose Alkhatib, DO

  • Obstetrics Physician
  • Beaumont, TX
National Provider Identifier
1255860177
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
S9839 Issued in TX
Practice address
3070 College St Ste 202
Beaumont, TX 77701-4688
Phone
(409) 212-7100
Fax
(409) 212-7140
NPI assigned
Jun 5, 2017
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X S9839 TX Primary

Addresses

Primary practice location

3070 College St Ste 202
Beaumont, TX 77701-4688

Mailing address

810 Hospital Dr Ste 100
Beaumont, TX 77701-4633
Phone (409) 212-5933

Other practice location 1

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5000

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
I20210729002231 TX Practitioner - Obstetrics/Gynecology 1951704824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

3070 College St
Suite 202
Beaumont, TX 77701-4688
Phone (409) 212-5780

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9839TXMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. CurrentSince Apr 6, 2024 Accepting new patients
Baptist Physician Network CurrentSince Aug 1, 2021 Accepting new patients
Baptist Hospitals of Southeast Texas Past Accepting new patients
Broussard Family Practice, PLLC PastSince Oct 24, 2021 Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

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

3070 College St
Ste 202
Beaumont, TX 77701
Phone (409) 212-1533

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

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

810 Hospital Dr
Ste 100
Beaumont, TX 77701
Phone (409) 212-5933

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

Interoperability endpoints

  • Direct secure messaging: amira.alkhatib@bpn.eclinicaldirectplus.com

Organizations & group practices 4

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 1

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1255860177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014633",
            "telephone_number": "409-212-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 202",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014688",
            "telephone_number": "409-212-7100",
            "fax_number": "409-212-7140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3080 College St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777014606",
            "country_code": "US",
            "telephone_number": "409-212-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKHATIB",
        "first_name": "AMIRA",
        "middle_name": "ROSE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "S9839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.