Active NPI
Mohammad U Khubaib, M.D.
- Sports Medicine (Internal Medicine) Physician
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- T7971
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
| License | State | Type | Specialty |
|---|---|---|---|
| T7971 | TX | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Internal Medicine | Current | Accepting new patients |
| Eran Kessous MD PC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Perioperative and Transitional Medicine Group PLLC | Internal Medicine | Current | Accepting new patients |
| Optum Medical Care of New Jersey PC | Internal Medicine | Current | Accepting new patients |
| Signify Health Medical Associates of New Jersey, LLC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1124495718
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- Pediatrics Physician
- New Hyde Park, NY
- NPI 1578665048
Internal Medicine, NJ
-
- General Practice Physician
- Princeton, NJ
- NPI 1174187728
-
- Family Medicine Physician
- Irving, TX
- NPI 1326667536
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.