Active NPI
Fahad Khateeb, M.D.
- Hospitalist Physician
- Berkeley Heights, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA10681900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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 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
- Christus Jasper Memorial Hospital
- Christus Spohn Hospital Beeville
- Christus Shreveport-Bossier Health System
- Christus Spohn Hospital Corpus Christi
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10681900 | NJ | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Martin Medical Consulting LLC | Current | Accepting new patients | |
| Gulf Coast Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Hospitalist | Current | Accepting new patients |
| Alliance Ehealth, PA | Current | Accepting new patients | |
| North Texas Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Sound Physicians of Wyoming, LLC | Family Medicine | Current | Accepting new patients |
| Practice Associates Medical Group | Family Medicine | Current | Accepting new patients |
| Northeast Louisiana Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Family Medicine | Current | Accepting new patients |
| Central Louisiana Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Southwest Louisiana Physicians, LLC | Hospitalist | Current | Accepting new patients |
| Jefferson Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Bexar Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| South Texas Physician Services, PLLC | Hospitalist | Current | Accepting new patients |
| Aco Jason Martin Medical Consulting | Past | 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.
-
- Internal Medicine Physician
- Morristown, NJ
- NPI 1427016385
Family Medicine
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1417738675
Hospitalist
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1922889187
Hospitalist
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1598546764
Hospitalist
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
Hospitalist
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1407637671
Hospitalist
-
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1598546772
Hospitalist
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1730960998
Hospitalist
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Family Medicine
-
- General Practice Physician
- Austin, TX
- NPI 1851736243
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Summit, NJ
- NPI 1740254143
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- Rural Acute Care Hospital
- Jasper, TX
- NPI 1598749707
-
- General Acute Care Hospital
- Beeville, TX
- NPI 1447228747
-
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.