Khaled Jamal Mohd Alkhateeb, M.B.B.S.
Individual provider Active NPI Anatomic Pathology Physician · Providence, RI
NPI 1295265478 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1295265478
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology Physician 207ZP0101X
- License
- MD19269 (RI)
- Practice address
- 593 Eddy Street Apc 12
Providence, RI 02903 - Phone
- (401) 444-5057
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newport Hospital
The Miriam Hospital
Rhode Island Hospital
Practice addresses (Care Compare)
11 Friendship St
Newport, RI 02840-2209
Phone (401) 845-1110
164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-7245
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-3777
Hospital & facility affiliations
- The Miriam Hospital
- Rhode Island Hospital
- Saint Anne'S Hospital
- Newport Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230622002120 | RI | Practitioner - Pathology | 1254799281 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19269 | RI | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current |
Accepting new patients | |
| Newport Hospital | Current |
Accepting new patients | |
| The Miriam Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Current |
Accepting new patients | |
| The Miriam Hospital | Anatomic Pathology | Current |
Accepting new patients |
| Newport Hospital | Current |
Accepting new patients | |
| Rhode Island Hospital | Current |
Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
11 Friendship St
Newport, RI 02840
Phone (401) 845-1110
593 Eddy St
Providence, RI 02903
593 Eddy St
#12
Providence, RI 02903
Phone (401) 444-5057
164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
164 Summit Ave
Ste C
Providence, RI 02906
Phone (401) 793-2931
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | MD19269 | RI | Yes |
Addresses
Primary practice location
593 Eddy Street Apc 12
Providence, RI 02903
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
75 Francis St Fl Cotran3
Boston, MA 02115-6106
Phone (617) 732-4699
Other providers in Providence, RI
- Heather Aliotta
- Jason M Aliotta
- Alison Perry Pmhnp LLC
- Alivio Counseling Services
- Rawya Aljabari
- Barbara Alksninis
- Mohammad Manaf Alkurdi
- Tala Allababidi
- Kerri L Allanbrook
- Ayana Allard-Picou
All providers in Providence, RI · Anatomic Pathology Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.