Mohamad H Khattab, D.O.
Individual provider Active NPI Cardiovascular Disease Physician · Tulsa, OK
NPI 1265889489 · NPPES record last updated Jun 26, 2024
Key facts
- NPI
- 1265889489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 6205 (OK)
- Practice address
- 6151 S Yale Ave Ste 100a
Tulsa, OK 74136-1929 - Phone
- (918) 494-8500
- Fax
- (918) 307-5578
- NPI assigned
- May 17, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Oklahoma State University College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Warren Clinic Inc
Saint Francis Hospital, Inc.
Practice addresses (Care Compare)
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000
715 N Foreman St
Vinita, OK 74301-1422
Phone (918) 256-8731
Hospital & facility affiliations
- Saint Francis Hospital, Inc
- Saint Francis Hospital South, LLC
- Saint Francis Hospital Muskogee
- Saint Francis Hospital Vinita, Inc
- Creek Nation Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190702000916 | OK | Practitioner - Advanced Heart Failure and Transplant Cardiology |
2567796139 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laureate Psychiatric Clinic and Hospital Inc | Current |
Accepting new patients | |
| Saint Francis Hospital Vinita, Inc | Current |
Accepting new patients | |
| Warren Clinic Inc | Current |
Accepting new patients | |
| Saint Francis Hospital, Inc | Current |
Accepting new patients | |
| Saint Francis Hospital, Inc. | Current |
Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients | |
| Saint Francis Hospital Muskogee Inc | Current |
Accepting new patients | |
| Saint Francis Hospital South LLC | Current |
Accepting new patients | |
| Board of Regents of the University of Oklahoma - Ou Physicians | Current |
Accepting new patients |
Locations
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
920 Stanton L Young Blvd
#1130
Oklahoma City, OK 73104
Phone (405) 271-5963
711 Stanton L Young Blvd
Ste 430
Oklahoma City, OK 73104
Phone (405) 271-6434
700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667
825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
10505 E 91st St
Ste 208
Tulsa, OK 74133
Phone (918) 307-5470
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
6600 S Yale Ave
Ste 600
Tulsa, OK 74136
Phone (918) 491-5990
6655 S Yale Ave
Tulsa, OK 74136
Phone (918) 481-4000
6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
6151 S Yale Ave
Ste 100A
Tulsa, OK 74136
Phone (918) 494-2100
6151 S Yale Ave
Ste 1304
Tulsa, OK 74136
Phone (918) 494-5300
735 N Foreman St
Vinita, OK 74301
Phone (918) 256-7551
Interoperability endpoints
- mkhattab79959@direct.saintfrancis.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6205 | OK | |
| Cardiovascular Disease Physician | 207RC0000X | 6205 | OK | Yes |
Addresses
Primary practice location
6151 S Yale Ave Ste 100a
Tulsa, OK 74136-1929
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (888) 247-0125
Other practice location 1
700 NE 13th St
Oklahoma City, OK 73104-5004
Phone (405) 271-4700
Other practice location 2
10505 E 91st St Ste 208
Tulsa, OK 74133-5829
Phone (918) 494-8500
Other practice location 3
6151 S Yale Ave Ste 1304
Tulsa, OK 74136-1907
Phone (918) 494-8500
Other practice location 4
921 NE 13th St
Oklahoma City, OK 73104-5007
Phone (405) 456-1000
Other practice location 5
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 494-8500
Other providers in Tulsa, OK
- Taimoor Khan
- Zeeshaan Khan
- Abdurrahman Khattab
- Ahmad Khattab
- Jihad Khattab
- Danish Kherani
- Aleena Khichi
- Mahmood Hussain Khichi
- Maryam Khodaeikalaki
- Keith Hoe Peng Khoo
All providers in Tulsa, OK · Cardiovascular Disease Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.