Active NPI
Amira Rose Alkhatib, DO
- Obstetrics Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- S9839
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S9839 | TX | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg Texas Holdings, P.a. | Current | Accepting new patients | |
| Baptist Physician Network | Current | Accepting new patients | |
| Baptist Hospitals of Southeast Texas | Past | Accepting new patients | |
| Broussard Family Practice, PLLC | Past | 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
- 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.
-
- Specialist
- Beaumont, TX
- NPI 1558485532
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
-
- Specialist
- Beaumont, TX
- NPI 1710320908
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Beaumont Hospital
- General Acute Care Hospital
- Beaumont, TX
- NPI 1093744187
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.