Individual provider Active NPI

Khaled Imad Khalaf, M.D.

  • Interventional Cardiology Physician
  • Humble, TX
National Provider Identifier
1710237250
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
P4583 Issued in TX
Practice address
18450 Highway 59 N
Humble, TX 77338-4404
Phone
(281) 446-6566
Fax
(281) 446-6657
NPI assigned
Sep 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X P4583 TX
Interventional Cardiology Physician 207RI0011X P4583 TX Primary

Addresses

Primary practice location

18450 Highway 59 N
Humble, TX 77338-4404

Mailing address

18450 Highway 59 N
Humble, TX 77338-4404
Phone (281) 446-6566

Other practice location 1

1213 Hermann Dr Ste 720
Houston, TX 77004-7013
Phone (713) 796-9696

Other identifiers 2

IdentifierTypeStateIssuer
1710237250MedicaidTX
363843901MedicaidTX

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
I20160806000036 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1153615687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Medical School at Houston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1213 Hermann Dr
Suite 720
Houston, TX 77004-7013
Phone (713) 796-9696

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting24
Varicose vein removal39
Leg revascularization (restoring blood flow)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Association, P.L.L.C Cardiovascular Disease CurrentSince Aug 15, 2016 Accepting new patients
Deerbrook Cath Lab LLC Interventional Cardiology CurrentSince Apr 21, 2018 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Deerbrook ASC LLC PastSince Jul 13, 2023 Accepting new patients

Locations

1213 Hermann Dr
Ste 720
Houston, TX 77004
Phone (713) 526-1088

18450 Highway 59 N
Humble, TX 77338
Phone (281) 446-6566

18450 Highway 59 N
Ste 101
Humble, TX 77338
Phone 5123086342506

18450 Highway 59 N
Ste 101B
Humble, TX 77338
Phone (281) 572-0224

Organizations & group practices 4

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1710237250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18450 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384404",
            "telephone_number": "281-446-6566",
            "fax_number": "281-446-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18450 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384404",
            "telephone_number": "281-446-6566",
            "fax_number": "281-446-6657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 Hermann Dr Ste 720",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770047013",
            "country_code": "US",
            "telephone_number": "713-796-9696",
            "fax_number": "713-796-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "KHALED",
        "middle_name": "IMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P4583",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P4583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710237250",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363843901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.