Active NPI
Khubaib Nazir Gondal, M.D.
- Internal Medicine Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- T9397
- Practice address
- 2300 Lone Star Rd
Mansfield, TX 76063-8744 - Phone
- (682) 341-5000
- NPI assigned
- Apr 4, 2016
- Last updated
- Oct 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 301003 | NY | |
| Internal Medicine Physician | 207R00000X | T9397 | TX | Primary |
| Nephrology Physician | 207RN0300X | T9397 | TX | |
| Hospitalist Physician | 208M00000X | 35.136515 | OH |
Addresses
Primary practice location
2300 Lone Star Rd
Mansfield, TX 76063-8744
Mailing address
7406 Quail Ridge Dr
Arlington, TX 76002-3484
Phone (347) 432-0944
Other practice location 1
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
Other practice location 2
847 46th St
Brooklyn, NY 11220-1612
Phone (347) 432-0944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2565399 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301003 | NY | MD | Internal Medicine Physician |
| T9397 | TX | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Internal Medicine | Current | Accepting new patients |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Texas Health Hospital Mansfield | Past | Accepting new patients |
Locations
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- kgondal2471303@direct.texashealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1053767897
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1356960132
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1356960132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1437512753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7406 QUAIL RIDGE DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760023484",
"telephone_number": "347-432-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 LONE STAR RD",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760638744",
"telephone_number": "682-341-5000"
}
],
"practiceLocations": [
{
"address_1": "10500 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "OH",
"postal_code": "452424402",
"country_code": "US",
"telephone_number": "513-865-2246",
"fax_number": "513-865-5596",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "847 46th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112201612",
"country_code": "US",
"telephone_number": "347-432-0944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONDAL",
"first_name": "KHUBAIB",
"middle_name": "NAZIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "301003",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "T9397",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "T9397",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.136515",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2565399",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.