Individual provider Active NPI

Fatima Rizwan Khalid, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1710273685
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R8924 Issued in TX
Practice address
411 N Washington Ave Ste 6000
Dallas, TX 75246-1789
Phone
(214) 358-2300
Fax
(214) 579-6988
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X R8924 TX Primary

Addresses

Primary practice location

411 N Washington Ave Ste 6000
Dallas, TX 75246-1789

Mailing address

1505 LBJ Fwy Ste 700
Dallas, TX 75234-6065
Phone (214) 358-2300

Other identifiers 1

IdentifierTypeStateIssuer
R8924OtherTXTEXAS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180611001340 AR Practitioner - Nephrology 4880827211 Reassigns benefits to 1 organization
I20211111000793 TX Practitioner - NephrologyPractitioner - Internal Medicine 4880827211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

411 N Washington Ave
Suite 7000
Dallas, TX 75246-1791
Phone (214) 358-2300

Hospital & facility affiliations

  • Swiss Avenue Dialysis Center Dialysis facility, Dallas, TX, CCN 452693
  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince May 11, 2018 Accepting new patients
Dallas Nephrology Associates CurrentSince Dec 1, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 11, 2018 Accepting new patients
Dallas Nephrology Associates Nephrology CurrentSince Dec 1, 2021 Accepting new patients
Strong Renal Group Nephrology PastSince Jul 1, 1998 Accepting new patients

Locations

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

411 N Washington Ave
Ste 7000
Dallas, TX 75246
Phone (214) 823-7090

1420 Viceroy Dr
Dallas, TX 75235

1505 Lyndon B Johnson Fwy
Ste 700
Dallas, TX 75234
Phone 21435823006012

1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200

411 N Washington Ave
Ste 6000
Dallas, TX 75246
Phone (214) 821-5266

1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153

2020 W State Highway 114
Ste 190
Grapevine, TX 76051
Phone 2143582300 ext. 6225

Interoperability endpoints

  • Direct secure messaging: fkhalid52382@direct.acumenmd.com
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 6

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 3

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1710273685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-366-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N WASHINGTON AVE STE 6000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461789",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "FATIMA",
        "middle_name": "RIZWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R8924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "R8924",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.