Individual provider Active NPI

Seyed Mohammad Mehdi Khalafi, M.D.

  • Interventional Cardiology Physician
  • Fort Worth, TX
National Provider Identifier
1265896393
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
U4837 Issued in TX
Practice address
1017 12TH Ave
Fort Worth, TX 76104-3915
Phone
(817) 334-2800
Fax
(817) 820-0094
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X U4837 TX
Cardiovascular Disease Physician 207RC0000X U4837 TX
Interventional Cardiology Physician 207RI0011X U4837 TX Primary

Addresses

Primary practice location

1017 12TH Ave
Fort Worth, TX 76104-3915

Mailing address

1017 12TH Ave
Fort Worth, TX 76104-3915
Phone (817) 334-2800

Other practice location 1

920 Hilltop Dr
Weatherford, TX 76086-5488
Phone (817) 334-2800

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
I20230807000722 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9537520531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Missouri, Kansas City, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Center of North Texas PAGroup PAC ID 5092798694, 16 clinicians

Practice addresses (Care Compare)

1017 12TH Ave
Fort Worth, TX 76104-3915
Phone (817) 334-2800

Hospital & facility affiliations

  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

Merit-based Incentive Payment System (MIPS)

Final score
86.96 of 100Reported as group
Quality
81.53
Promoting interoperability
100
Improvement activities
40
Cost
74.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting99
Pacemaker insertion or repair13
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Makd Heart & Vascular LLC Cardiovascular Disease CurrentSince Oct 28, 2024 Accepting new patients
Heart Center of North Texas, PA Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients
Heart Center of North Texas, PA Cardiovascular Disease CurrentSince Aug 1, 2023 Accepting new patients

Locations

1017 12th Ave
Fort Worth, TX 76104

1401 8th Ave
Ft Worth, TX 76104
Phone (817) 334-2831

920 Hilltop Dr
Weatherford, TX 76086
Phone (817) 613-9082

Interoperability endpoints

  • Direct secure messaging: seyedmohammedmehdi.khalafi.p1@direct.hcnt.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1265896393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Hilltop Dr",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760865488",
            "country_code": "US",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALAFI",
        "first_name": "SEYED",
        "middle_name": "MOHAMMAD MEHDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U4837",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "U4837",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "U4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.