Individual provider Active NPI

Nathaniel Acebedo Kho, M. D.

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1689757189
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K9823 Issued in TX
Practice address
9 Medical Pkwy Ste 107
Dallas, TX 75234-7852
Phone
(972) 247-5884
Fax
(972) 247-5933
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X K9823 TX
Clinical Neurophysiology Physician 2084N0600X K9823 TX
Psychiatry Physician 2084P0800X K9823 TX
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084S0012X K9823 TX
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X K9823 TX Primary

Addresses

Primary practice location

9 Medical Pkwy Ste 107
Dallas, TX 75234-7852

Mailing address

PO Box 941408
Plano, TX 75094-1408
Phone (972) 247-5884

Other identifiers 5

IdentifierTypeStateIssuer
0007465251OtherTXAETNA PROVIDER NUMBER
4242217OtherTXBLUELINK ID
16MNOtherTXBCBS GROUP NUMBER
8298271OtherTXCIGNA PROVIDER NUMBER
8R9390OtherTXBCBS PROVIDER NUMBER

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
I20050302000190 TX Practitioner - NeurologyPractitioner - Sleep Medicine 3072566025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Medical Pkwy
Suite 107
Dallas, TX 75234-7852
Phone (972) 247-5884

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9823TXMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nathaniel Kho MD PA Counseling CurrentSince Dec 27, 2004 Accepting new patients
Amb Eeg LLC CurrentSince Mar 1, 2023 Accepting new patients
Southwest Neuroscience and Spine Center PA Single Specialty Past Accepting new patients

Locations

9 Medical Pkwy
Ste 107
Dallas, TX 75234
Phone (972) 247-5884

1905 W Ennis Ave
Ste 504
Ennis, TX 75119
Phone (972) 247-5884

9 Medical Pkwy
Ste 304
Farmers Brnch, TX 75234
Phone (972) 247-5884

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHEGBA/Endpoint/EHEGBA
  • Direct secure messaging: dmcnkho@yourcarecommunity.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 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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1689757189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941408",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750941408",
            "telephone_number": "972-247-5884",
            "fax_number": "972-247-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PKWY STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347852",
            "telephone_number": "972-247-5884",
            "fax_number": "972-247-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHO",
        "first_name": "NATHANIEL",
        "middle_name": "ACEBEDO",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TX",
            "license": "K9823",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "K9823",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K9823",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TX",
            "license": "K9823",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K9823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "0007465251",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK ID",
            "identifier": "4242217",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "16MN",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "8298271",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8R9390",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.