Individual provider Active NPI

Khalid Monzer, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Reno, NV
National Provider Identifier
1689873358
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
P7515 Issued in TX
Practice address
236 W 6TH St
Suite 200
Reno, NV 89503-4517
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50694 MN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 16632 NV
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036170869 IL
Pulmonary Disease Physician 207RP1001X 16632 NV
Pulmonary Disease Physician 207RP1001X 54062-20 WI
Pulmonary Disease Physician 207RP1001X P7515 TX
Critical Care Medicine (Internal Medicine) Physician 207RC0200X P7515 TX Primary

Addresses

Primary practice location

236 W 6TH St
Suite 200
Reno, NV 89503-4517

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226

Other practice location 1

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-7451

Other identifiers 1

IdentifierTypeStateIssuer
13817068OtherNVCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150512001652 TX Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9830265115 Reassigns benefits to 4 organizations
I20200507002191 TN Practitioner - Pulmonary Disease 9830265115 Reassigns benefits to 1 organization
I20240905003074 IL Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9830265115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo ICU LLCGroup PAC ID 7618324898, 27 clinicians
Southeast Texas Intensivists, PLLCGroup PAC ID 7810342672, 37 clinicians
Cep America Illinois IntensivistsGroup PAC ID 0345535449, 47 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-4658

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464

Hospital & facility affiliations

  • Christus Santa Rosa Medical Center Hospital, San Antonio, TX, CCN 450237
  • St Johns Hospital Hospital, Springfield, IL, CCN 140053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50694MNMDInternal Medicine Physician
036170869ILMDCritical Care Medicine (Internal Medicine) Physician
54062-20WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc CurrentSince Mar 5, 2020 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine CurrentSince Mar 5, 2020 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Aug 8, 2024 Accepting new patients
Southeast Texas Intensivists, PLLC Critical Care Medicine CurrentSince Mar 24, 2024 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine Current Accepting new patients
Monzermd LLC Critical Care Medicine Current Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince Aug 8, 2024 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Sep 2, 2022 Accepting new patients
Cepamerica Texas PA Critical Care Medicine CurrentSince Sep 1, 2022 Accepting new patients
Thedacare, Incorporated CurrentSince Apr 13, 2020 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Mar 1, 2020 Accepting new patients
Thedacare, Incorporated Family Medicine CurrentSince Apr 13, 2020 Accepting new patients
Bellin Memorial Hospital Inc Family Medicine Current Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients
The Duluth Clinic, LTD. Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1689873358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034517",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013505",
            "country_code": "US",
            "telephone_number": "920-433-7451",
            "fax_number": "920-433-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONZER",
        "first_name": "KHALID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "50694",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NV",
            "license": "16632",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036170869",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NV",
            "license": "16632",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "54062-20",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P7515",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "P7515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13817068",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.