Individual provider Active NPI

Suhare Kazem Khalil, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1407110026
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R3357 Issued in TX
Practice address
6431 Fannin St
Suite MSB 2.025
Houston, TX 77030-1501
Phone
(713) 500-7583
Fax
(713) 500-0725
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R3357 TX Primary
Diagnostic Radiology Physician 2085R0202X 64754 TN

Addresses

Primary practice location

6431 Fannin St
Suite MSB 2.025
Houston, TX 77030-1501

Mailing address

6431 Fannin St
Suite MSB 2.130B
Houston, TX 77030
Phone (281) 705-4678

Other practice location 1

23715 Sawmill Pass
Spring, TX 77373-8578
Phone (281) 705-4678

Other identifiers 1

IdentifierTypeStateIssuer
Q073087MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170824003392 TX Practitioner - Diagnostic Radiology 1850663873 Reassigns benefits to 5 organizations
I20230120001571 TN Practitioner - Diagnostic Radiology 1850663873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians
USA Radiology of Pennsylvania LLCGroup PAC ID 0345594388, 22 clinicians
USA Radiology Management Solutions LLCGroup PAC ID 3577780337, 26 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

Practice addresses (Care Compare)

1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000

23715 Sawmill Pass
Spring, TX 77373-8578
Phone (314) 238-5260

5959 Park Ave
Memphis, TN 38119-5198

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3357TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Chatham Imaging LLC Diagnostic Radiology CurrentSince Sep 23, 2022 Accepting new patients
USA Radiology Management Solutions LLC Diagnostic Radiology CurrentSince Feb 4, 2022 Accepting new patients
USA Radiology of Pennsylvania, LLC CurrentSince Dec 15, 2021 Accepting new patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Jul 26, 2023 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Lauderdale Community Hospital LLC Past Accepting new patients
Vanderbilt University Past Accepting new patients

Locations

Dept AT 40379
Atlanta, GA 31192

Dept A T 40379
Atlanta, GA 31192

10 Little Brook Rd
West Wareham, MA 02576

17651 Highway B
Boonville, MO 65233
Phone (660) 882-7461

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

603 S Bishop Ave
Rolla, MO 65401
Phone (573) 426-4411

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

105 E Hospital Dr
Sweet Springs, MO 65351
Phone (660) 335-4700

965 Shamrock Ln
Corry, PA 16407
Phone (814) 644-4641

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

17 Centre Plaza Dr
Jackson, TN 38305
Phone (731) 512-0104

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 7

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1407110026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE MSB 2.130B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "281-705-4678",
            "fax_number": "713-500-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE MSB 2.025",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7583",
            "fax_number": "713-500-0725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23715 Sawmill Pass",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773738578",
            "country_code": "US",
            "telephone_number": "281-705-4678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "SUHARE",
        "middle_name": "KAZEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R3357",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "64754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q073087",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.