NPIMap

Individual provider Active NPI

Wajiuddin Khalfe, M.D.

  • Internal Medicine Physician
  • Greenville, TX
National Provider Identifier
1265546840
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K1501 Issued in TX
Practice address
6113 Jack Finney Blvd
Greenville, TX 75402-8085
Phone
(903) 455-7942
NPI assigned
Aug 19, 2006
Last updated
Apr 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K1501 TX Primary

Addresses

Primary practice location

6113 Jack Finney Blvd
Greenville, TX 75402-8085

Mailing address

1333 Thornwood Dr
Murphy, TX 75094-5102
Phone (972) 422-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000813 TX Practitioner - Internal Medicine 5597789495 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunt Memorial Hospital DistrictGroup PAC ID 6406768936, 36 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1501TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunt Memorial Hospital District Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Seniorhealth Rehabilitation Hospital of Greenville, Inc Past Accepting new patients
Borelli Inpatient Services Internal Medicine Past Accepting new patients
Hunt Memorial Hospital District Past Accepting new patients
Texas Em-I Medical Services PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Texas Em-I Medical Services, PA Internal Medicine Past Accepting new patients

Locations

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

Organizations & group practices 11

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1265546840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 THORNWOOD DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750945102",
            "telephone_number": "972-422-5360",
            "fax_number": "972-422-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 JACK FINNEY BLVD",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754028085",
            "telephone_number": "903-455-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALFE",
        "first_name": "WAJIUDDIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.