Individual provider Active NPI

Mohamad H Khattab, D.O.

  • Cardiovascular Disease Physician
  • Tulsa, OK
National Provider Identifier
1265889489
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6205 Issued in 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
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 6205 OK
Cardiovascular Disease Physician 207RC0000X 6205 OK Primary

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

6151 S Yale Ave Ste 1304
Tulsa, OK 74136-1907
Phone (918) 494-8500

Other practice location 3

10505 E 91st St Ste 208
Tulsa, OK 74133-5829
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20190702000916 OK Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2567796139 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (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 IncGroup PAC ID 8820900293, 787 clinicians
Saint Francis Hospital, Inc.Group PAC ID 9537061171, 58 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2019 Accepting new patients
Saint Francis Hospital, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Warren Clinic Inc CurrentSince Aug 5, 2024 Accepting new patients
Saint Francis Hospital, Inc CurrentSince Aug 5, 2024 Accepting new patients
Saint Francis Hospital South LLC CurrentSince Aug 5, 2024 Accepting new patients
Saint Francis Hospital Muskogee Inc CurrentSince Aug 5, 2024 Accepting new patients
Saint Francis Hospital Vinita, Inc CurrentSince Aug 5, 2024 Accepting new patients
Laureate Psychiatric Clinic and Hospital Inc CurrentSince Aug 5, 2024 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Jul 1, 2019 Accepting new patients

Locations

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

711 Stanton L Young Blvd
Ste 430
Oklahoma City, OK 73104
Phone (405) 271-5068

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

920 Stanton L Young Blvd
#1130
Oklahoma City, OK 73104
Phone (405) 271-5963

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

10505 E 91st St
Ste 208
Tulsa, OK 74133
Phone (918) 307-5470

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

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

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

735 N Foreman St
Vinita, OK 74301
Phone (918) 256-7551

Interoperability endpoints

  • Direct secure messaging: mkhattab79959@direct.saintfrancis.com

Organizations & group practices 9

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 7

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1265889489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "888-247-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 S YALE AVE STE 100A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361929",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045004",
            "country_code": "US",
            "telephone_number": "405-271-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6151 S Yale Ave Ste 1304",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361907",
            "country_code": "US",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10505 E 91st St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335829",
            "country_code": "US",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 NE 13th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045007",
            "country_code": "US",
            "telephone_number": "405-456-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Rockefeller Dr",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744015075",
            "country_code": "US",
            "telephone_number": "918-494-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATTAB",
        "first_name": "MOHAMAD",
        "middle_name": "H",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "6205",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "6205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.