Individual provider Active NPI

Humaira Khalid, M.D.

  • Psychiatry Physician
  • Plano, TX
National Provider Identifier
1417293275
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q4159 Issued in TX
Practice address
7170 Preston Rd
Suite 200
Plano, TX 75024-3281
Phone
(972) 232-7474
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q4159 TX Primary

Addresses

Primary practice location

7170 Preston Rd
Suite 200
Plano, TX 75024-3281

Mailing address

7170 Preston Rd
Suite 200
Plano, TX 75024-3281
Phone (972) 232-7474

Other identifiers 1

IdentifierTypeStateIssuer
0362611MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150904001298 TX Practitioner - Psychiatry 1951536283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satish Narayan MD PAGroup PAC ID 7113086018, 12 clinicians

Practice addresses (Care Compare)

7170 Preston Rd
Suite 200
Plano, TX 75024-3382
Phone (972) 232-7474

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q4159TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Satish Narayan MD PA Psychiatry CurrentSince Jul 27, 2015 Accepting new patients
Nisha Satish MD PA PastSince Jul 27, 2015 Accepting new patients

Locations

6500 Bryant Irvin Rd
Fort Worth, TX 76132
Phone (972) 232-7474

4501 Joe Ramsey Blvd E
Ste 260
Greenville, TX 75401
Phone (972) 232-7474

7170 Preston Rd
Ste 200
Plano, TX 75024
Phone (972) 232-7413

Organizations & group practices 2

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": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1417293275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 PRESTON RD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243281",
            "telephone_number": "972-232-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 PRESTON RD",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243281",
            "telephone_number": "972-232-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "HUMAIRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q4159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0362611",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.