Individual provider Active NPI

Mohammad U Khubaib, M.D.

  • Sports Medicine (Internal Medicine) Physician
  • Arlington, TX
National Provider Identifier
1477084440
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
T7971 Issued in TX
Practice address
1741 E Bardin Rd
Arlington, TX 76018-4836
Phone
(817) 702-8700
NPI assigned
Mar 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10870500 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Internal Medicine) Physician 207RS0010X T7971 TX Primary

Addresses

Primary practice location

1741 E Bardin Rd
Arlington, TX 76018-4836

Mailing address

1741 E Bardin Rd
Arlington, TX 76018-4836
Phone (817) 702-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, RI, TX, NY, DC, MD6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20200910001051 NJ Practitioner - Internal Medicine 3173941952 Reassigns benefits to 2 organizations
I20221123001338 RI Practitioner - Internal Medicine 3173941952 Reassigns benefits to 1 organization
I20230315002509 TX Practitioner - Internal Medicine 3173941952 Reassigns benefits to 3 organizations
I20231121000852 NY Practitioner - Internal Medicine 3173941952 Reassigns benefits to 1 organization
I20231213002042 DC Practitioner - Sports Medicine 3173941952 Reassigns benefits to 1 organization
I20260318000153 MD Practitioner - Internal Medicine 3173941952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T7971TXMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Oct 11, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Vpa of Texas PLLC Internal Medicine Current Accepting new patients
Eran Kessous MD PC CurrentSince Oct 23, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 4, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 4, 2024 Accepting new patients
Perioperative and Transitional Medicine Group PLLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Aug 1, 2022 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Sep 1, 2020 Accepting new patients
A.G. Dikengil, MD, PA Past Accepting new patients

Locations

6931 Arlington Rd
Bethesda, MD 20814
Phone (301) 215-7478

11120 New Hampshire Ave
Ste 411
Silver Spring, MD 20904
Phone (301) 754-0505

11120 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 593-9612

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

270 Bellevue Ave
Newport, RI 02840
Phone (203) 843-2264

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

8220 Walnut Hill Ln
Ste 600
Dallas, TX 75231
Phone (214) 238-3074

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 11

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1477084440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 E BARDIN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760184836",
            "telephone_number": "817-702-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 E BARDIN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760184836",
            "telephone_number": "817-702-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUBAIB",
        "first_name": "MOHAMMAD",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10870500",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "TX",
            "license": "T7971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.