George Souhel Khammar, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

L4489 Issued in TX

Practice address

1017 12TH Ave
Fort Worth, TX 76104-3915

Phone

(817) 334-2800

Fax

(817) 820-0094

NPI assigned

May 11, 2006

Last updated

Oct 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Electronic endpoints 2

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

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heart Center of North Texas PAGroup PAC ID 5092798694, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
• Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
• Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
• Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

Merit-based Incentive Payment System (MIPS)

Final score

86.96 of 100Reported as group

Quality

81.53

Promoting interoperability

100

Improvement activities

40

Cost

74.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Heart Center of North Texas, PA

  dba Heart Center of North Texas

  • Cardiovascular Disease Physician
  • Weatherford, TX
  • NPI 1821202581
  Medicare reassignment Care Compare group NPD
• Legacy Heart Care of Fort Worth, LLC

  dba Flow Therapy Fort Worth

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1730120908
  Medicare reassignment NPD
• Makd Heart & Vascular LLC

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1376918292
  Medicare reassignment NPD
• Heart Center of North Texas, PA

  dba Heart Center of North Texas

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1396762357
  NPD

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

• Baylor All Saints Medical Center

  dba Baylor Scott & White All Saints Medical Center - Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1669472387
  Care Compare affiliation
• Columbia Plaza Medical Center of Fort Worth Subsidiary LP

  dba Medical City Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1659323772
  Care Compare affiliation
• Granbury Hospital Corporation

  dba Lake Granbury Medical Center

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• Texas Heart Hospital of the Southwest LLC

  dba Baylor Scott & White Heart and Vascular Hospital - Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1609855139
  Care Compare affiliation
• Weatherford Health Services, LLC

  dba Medical City Weatherford

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1619927373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 12TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043915",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Crawford Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760484560",
            "country_code": "US",
            "telephone_number": "817-334-2800",
            "fax_number": "817-820-0094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044110",
            "country_code": "US",
            "telephone_number": "817-927-6224",
            "fax_number": "817-927-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAMMAR",
        "first_name": "GEORGE",
        "middle_name": "SOUHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "L4489",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "L4489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8G2851",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "7462025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10008961",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558264-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558264-02",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george.khammar@direct.hcnt.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1017 12th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "george.khammar@direct.hcnt.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1200 Crawford Ave Ste A",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760484560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amir Arshad Khalil, MD
• Ebram Khalil
• Ghali Amir Khalil, MD
• Reza Khalili, MD
• Shehryar Khaliqdina, MD
• Sue Khammar, OTR/L
• Johnny Khamphouseng, LMT
• Ahsan Ahmed Khan, DO
• Aisha Khan, M.D.
• Aisha Noreen Khan

• Interventional Cardiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.

Verify at the official NPI Registry.