Individual provider Active NPI

Timothy Tamim Khater, MD

  • Ophthalmology Physician
  • Lubbock, TX
National Provider Identifier
1669476255
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K3276 Issued in TX
Practice address
5109 80TH St
Lubbock, TX 79424
Phone
(806) 792-5900
Fax
(806) 792-6092
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K3276 TX Primary
Cornea and External Diseases Specialist Physician 207WX0120X K3276 TX

Addresses

Primary practice location

5109 80TH St
Lubbock, TX 79424

Mailing address

5109 80TH St
Lubbock, TX 79424-3017
Phone (806) 792-5900

Other practice location 1

3611 50th St
Lubbock, TX 79413-3911
Phone (806) 792-5900

Other identifiers 2

IdentifierTypeStateIssuer
092254403MedicaidTX
180036465OtherRAILROAD MEDICARE

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
I20050331000923 TX Practitioner - Ophthalmology 3274580378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Texas Eye PAGroup PAC ID 5294782389, 23 clinicians

Practice addresses (Care Compare)

5109 80TH St
Lubbock, TX 79424-3017
Phone (806) 792-5900

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery842

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3276TXMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cataract & Surgical Center of Lubbock LLC CurrentSince May 1, 2016 Accepting new patients
West Texas Eye PA CurrentSince Jan 1, 2001 Accepting new patients
West Texas Eye PA Ophthalmology CurrentSince Jan 1, 2001 Accepting new patients

Locations

5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900

12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 792-5900

3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900

805 W Wadley Ave
Midland, TX 79705
Phone (806) 792-5900

Interoperability endpoints

  • Direct secure messaging: tkhater@wtxeye.updoxdirect.com
  • Direct secure messaging: timothy.khater.p30@direct.avp.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1669476255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243017",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 80TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-792-5900",
            "fax_number": "806-792-6092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3611 50th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794133911",
            "country_code": "US",
            "telephone_number": "806-792-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATER",
        "first_name": "TIMOTHY",
        "middle_name": "TAMIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K3276",
            "primary": true
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "TX",
            "license": "K3276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092254403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180036465",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.