Individual provider Active NPI

Fahad Khateeb, M.D.

  • Hospitalist Physician
  • Berkeley Heights, NJ
National Provider Identifier
1285861401
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA10681900 Issued in NJ
Practice address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone
(866) 396-9344
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q0659 TX
Hospitalist Physician 208M00000X 25MA10681900 NJ Primary

Addresses

Primary practice location

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104

Mailing address

4515 Seton Center Pkwy
Ste 215
Austin, TX 78759-5290
Phone (512) 324-1864

Other practice location 1

11113 Research Blvd
Austin, TX 78759-5236
Phone (512) 324-1864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY, NJ, LA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20141013000281 TX Practitioner - HospitalistPractitioner - Family Practice 2163670415 Reassigns benefits to 9 organizations
I20200706002598 WY Practitioner - Family Practice 2163670415 Reassigns benefits to 1 organization
I20220113002313 NJ Practitioner - Hospitalist 2163670415 Reassigns benefits to 1 organization
I20241103000095 LA Practitioner - Family Practice 2163670415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians
South Texas Physician Services, PLLCGroup PAC ID 5890145783, 57 clinicians
Northeast Louisiana Physicians LLCGroup PAC ID 2365885944, 44 clinicians
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians
Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians
Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

1453 E Bert Kouns Industrial Loop
Christus Highland Medical Center
Shreveport, LA 71105-5634
Phone (318) 681-4500

1500 E Houston St
Christus Spohn Hospital Beeville
Beeville, TX 78102-5312
Phone (361) 354-2000

1612 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 984-2492

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • Christus Jasper Memorial Hospital Hospital, Jasper, TX, CCN 450573
  • Christus Spohn Hospital Beeville Hospital, Beeville, TX, CCN 450082
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10681900NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Martin Medical Consulting LLC CurrentSince Aug 18, 2016 Accepting new patients
Gulf Coast Physician Services, PLLC Hospitalist CurrentSince Jun 30, 2024 Accepting new patients
Lonestar Hospital Medicine Associates, PA Hospitalist CurrentSince Jun 1, 2016 Accepting new patients
Alliance Ehealth, PA CurrentSince Aug 6, 2020 Accepting new patients
North Texas Physician Services, PLLC Hospitalist CurrentSince Jun 30, 2024 Accepting new patients
Sound Physicians of Wyoming, LLC Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Practice Associates Medical Group Family Medicine CurrentSince May 5, 2025 Accepting new patients
Northeast Louisiana Physicians, LLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Central Louisiana Physicians, LLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Southwest Louisiana Physicians, LLC Hospitalist CurrentSince Oct 1, 2024 Accepting new patients
Jefferson Physician Services, PLLC Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
Bexar Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
South Texas Physician Services, PLLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Aco Jason Martin Medical Consulting PastSince Aug 3, 2025 Accepting new patients

Locations (25 of 40)

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

200 Corporate Blvd
Lafayette, LA 70508

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

1373 N Avenue C
Elgin, TX 78621
Phone (512) 285-2457

3310 Katy Fwy
Ste 390
Houston, TX 77007
Phone (281) 962-8550

9000 Southwest Fwy
Ste 170
Houston, TX 77074
Phone (713) 271-7533

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1612 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 983-2492

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

Organizations & group practices 16

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.

View all 16

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1285861401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SETON CENTER PKWY",
            "address_2": "STE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595290",
            "telephone_number": "512-324-1864",
            "fax_number": "512-419-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "866-396-9344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11113 Research Blvd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787595236",
            "country_code": "US",
            "telephone_number": "512-324-1864",
            "fax_number": "512-419-9016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATEEB",
        "first_name": "FAHAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0659",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA10681900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.