Individual provider Active NPI

Maurice Ibrahim Khayat, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1518209758
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T3315 Issued in TX
Practice address
4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone
(214) 857-0056
NPI assigned
Mar 26, 2013
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T3315 TX Primary
Nephrology Physician 207RN0300X T3315 TX

Addresses

Primary practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Mailing address

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Other practice location 1

550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone (913) 684-6250

Other practice location 2

9040 Jackson Ave McHe-Qd (Creds)
Tacoma, WA 98431
Phone (253) 968-1485

Other practice location 3

3851 Roger Brooke Dr
MCHE-QD (Creds)
Fort Sam Houston, TX 78234-4501
Phone (210) 916-2460

Other practice location 4

5012 S US Highway 75 Ste 270
Denison, TX 75020-4597
Phone (903) 357-5419

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
I20221003002191 TX Practitioner - Nephrology 5395059018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Southern California Keck School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Renal Group, P.a.Group PAC ID 0244277283, 52 clinicians

Practice addresses (Care Compare)

3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461
Phone (972) 274-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
133424CAMDMarriage & Family Therapist
T3315TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Renal Group PA Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients

Locations

1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555

3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1518209758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752167167",
            "telephone_number": "214-857-0056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Pope Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Leavenworth",
            "state": "KS",
            "postal_code": "660272332",
            "country_code": "US",
            "telephone_number": "913-684-6250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9040 Jackson Ave McHe-Qd (Creds)",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "98431",
            "country_code": "US",
            "telephone_number": "253-968-1485",
            "fax_number": "253-968-1188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3851 Roger Brooke Dr",
            "address_2": "MCHE-QD (Creds)",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344501",
            "country_code": "US",
            "telephone_number": "210-916-2460",
            "fax_number": "210-916-4721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5012 S US Highway 75 Ste 270",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750204597",
            "country_code": "US",
            "telephone_number": "903-357-5419",
            "fax_number": "903-357-5517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAYAT",
        "first_name": "MAURICE",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T3315",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "T3315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.