NPIMap

Individual provider Active NPI

Mansoor Khalid, M.D.

  • Nephrology Physician
  • Oklahoma City, OK
National Provider Identifier
1700078797
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25798 Issued in OK
Practice address
3366 NW Expressway Ste 550
Oklahoma City, OK 73112-4489
Phone
(405) 942-5442
Fax
(405) 942-6448
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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 25798 OK
Nephrology Physician 207RN0300X 25798 OK Primary

Addresses

Primary practice location

3366 NW Expressway Ste 550
Oklahoma City, OK 73112-4489

Mailing address

3366 NW Expressway Ste 550
Oklahoma City, OK 73112-4489
Phone (405) 942-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000315 OK Practitioner - Internal MedicinePractitioner - NeurologyPractitioner - Nephrology 1951433895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology, Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Kidney Specialists of Central Oklahoma, PCGroup PAC ID 7618904988, 18 clinicians

Practice addresses (Care Compare)

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

3366 NW Expressway
Suite 550
Oklahoma City, OK 73112-4489
Phone (405) 942-5442

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients
Kidney Specialists of Central Oklahoma, PC Nephrology CurrentSince Jun 14, 2024 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Aug 19, 2013 Accepting new patients

Locations

530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3366 NW Expressway St
Ste 550
Oklahoma City, OK 73112
Phone (405) 942-5442

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • Direct secure messaging: mkhalid66109@direct.acumenmd.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 11

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1700078797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY STE 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124489",
            "telephone_number": "405-942-5442",
            "fax_number": "405-942-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY STE 550",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124489",
            "telephone_number": "405-942-5442",
            "fax_number": "405-942-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "MANSOOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "25798",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "25798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.