Individual provider Active NPI

Mohammad Khalil, M.D.

  • Hematology & Oncology Physician
  • Shenandoah, TX
National Provider Identifier
1669662136
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
S3830 Issued in TX
Practice address
17183 I 45 S Ste 110
Shenandoah, TX 77385-3313
Phone
(936) 270-3480
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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 2007017361 MO
Hematology & Oncology Physician 207RH0003X S3830 TX Primary

Addresses

Primary practice location

17183 I 45 S Ste 110
Shenandoah, TX 77385-3313

Mailing address

17183 I 45 S Ste 110
Shenandoah, TX 77385-3313

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
I20200127002116 TX Practitioner - Hematology/Oncology 9133554884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

17183 I H 45 S
110 Methodist Radiation Oncology Group
Shenandoah, TX 77385-3313
Phone (936) 270-3413

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

Hospital & facility affiliations

  • Houston Methodist Willowbrook Hospital Hospital, Houston, TX, CCN 450844
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Cypress Hospital Hospital, Cypress, TX, CCN 670342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007017361MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jan 6, 2020 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Jan 6, 2020 Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

18220 Tomball Pkwy
Ste 130
Houston, TX 77070
Phone (281) 737-0435

18220 Tomball Pkwy
Ste 100
Houston, TX 77070
Phone (281) 737-0436

6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633

17183 Interstate 45 S
Ste 110
Shenandoah, TX 77385
Phone (936) 270-3413

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: mkhalil308019@directhoustonmethodist.org

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 4

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1669662136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853313",
            "telephone_number": "936-270-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007017361",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "S3830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.