Individual provider Active NPI

Mahmoud A Khaimi, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Edmond, OK
National Provider Identifier
1881745651
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X
License
24906 Issued in OK
Practice address
1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone
(405) 920-5222
Fax
(405) 920-5209
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 24906 OK
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 24906 OK Primary

Addresses

Primary practice location

1800 Renaissance Blvd
Edmond, OK 73013-3023

Mailing address

1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 920-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070628000227 OK Practitioner - Ophthalmology 0547369779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Renaissance Blvd
Edmond, OK 73013-3023
Phone (405) 920-5222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
73.92
Promoting interoperability
100
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery235

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Surgeons of Oklahoma PLLC Glaucoma Specialist CurrentSince Jul 15, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1800 Renaissance Blvd
Ste 2020
Edmond, OK 73013

1800 Renaissance Blvd
Edmond, OK 73013
Phone (405) 359-2400

Interoperability endpoints

  • Direct secure messaging: mkhaimi@gsok.emadirect.md
  • Direct secure messaging: mkhaimi60582@ouhealth.direct-ci.net

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1881745651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-920-5222",
            "fax_number": "405-920-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RENAISSANCE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133023",
            "telephone_number": "405-920-5222",
            "fax_number": "405-920-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIMI",
        "first_name": "MAHMOUD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "24906",
            "primary": false
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "OK",
            "license": "24906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.