Individual provider Active NPI

Neelam Khaira, MD

  • Pediatrics Physician
  • Arlington, TX
National Provider Identifier
1366892127
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V4688 Issued in TX
Practice address
1606 Birds Fort Trail
Viridian MD
Arlington, TX 76005-1203
Phone
(682) 427-7208
Fax
(480) 781-4946
NPI assigned
Jun 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME142035 FL
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X V4688 TX Primary

Addresses

Primary practice location

1606 Birds Fort Trail
Viridian MD
Arlington, TX 76005-1203

Mailing address

1606 Birds Fort Trail
Viridian MD
Arlington, TX 76005-1203
Phone (682) 427-7208

Other identifiers 1

IdentifierTypeStateIssuer
105545800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190301000926 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9032458427

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME142035FLMDPediatrics Physician
V4688TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Liver Health, LLC Single Specialty PastSince Aug 12, 2019 Accepting new patients
Topcare Medical Group Inc Single Specialty Past Accepting new patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: neelam.khaira.1@31636.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1366892127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 BIRDS FORT TRAIL",
            "address_2": "VIRIDIAN MD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760051203",
            "telephone_number": "682-427-7208",
            "fax_number": "480-781-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 BIRDS FORT TRAIL",
            "address_2": "VIRIDIAN MD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760051203",
            "telephone_number": "682-427-7208",
            "fax_number": "480-781-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRA",
        "first_name": "NEELAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME142035",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V4688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105545800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.