Deepti Khullar, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP124860 Issued in TX

Practice address

6606 LBJ Fwy Ste 200
Dallas, TX 75240

Phone

(972) 715-5000

Fax

(972) 715-9976

NPI assigned

Dec 16, 2013

Last updated

May 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

CSH Corp.Group PAC ID 5395234199, 15 clinicians

Rehabilitation and Physical Medicine LLCGroup PAC ID 6800078759, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deepti.khullar.2@20490.direct.athenahealth.com

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.

• CSH Corp.

  • General Practice Physician
  • Dallas, TX
  • NPI 1386518355
  Medicare reassignment Care Compare group NPD
• Rehabilitation & Physical Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Irving, TX
  • NPI 1437470358
  Medicare reassignment Care Compare group NPD
• Arcy Healthcare, LLC

  dba Arcy Supportive Care

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Flower Mound, TX
  • NPI 1902434210
  Medicare reassignment NPD
• Care Well TX PLLC

  • General Practice Physician
  • Plano, TX
  • NPI 1407354780
  Medicare reassignment NPD
• Medinet Healthcare Agency Inc

  • Family Medicine Physician
  • Addison, TX
  • NPI 1942671573
  Medicare reassignment NPD
• Pinnacle Pain Medicine PLLC

  • Interventional Pain Medicine Physician
  • Denton, TX
  • NPI 1548739964
  Medicare reassignment
• Arcy Healthcare, LLC

  dba Arcy Hospice

  • Community Based Hospice Care Agency
  • Flower Mound, TX
  • NPI 1740318435
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1285055483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840853",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840853",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 LBJ FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3537 S I 35 E Ste 306",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106808",
            "country_code": "US",
            "telephone_number": "940-483-9898",
            "fax_number": "940-383-0643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHULLAR",
        "first_name": "DEEPTI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP124860",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124860",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329635201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8975NF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernest L Khoury, MD
• Nafissetou Khoury, APRN, FNP
• Tanya Antoine Khoury, DPT
• Raymond S Khouw, MD
• Arianna Khubani
• Neha Khuntia
• Kanida Khuon, PHARMD
• Inder Pal S Khurana, MD
• Kiran Khurana, MD
• Mallika Khurana

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.

Verify at the official NPI Registry.