Active NPI
Mohamad Moustapha El Khatib, M.D.
- Pediatrics Physician
- Trussville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34406
- Practice address
- 117 N Chalkville Rd
Trussville, AL 35173-1376 - Phone
- (205) 847-2780
- Fax
- (205) 847-2781
- NPI assigned
- Apr 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34406 | AL | Primary |
Addresses
Primary practice location
117 N Chalkville Rd
Trussville, AL 35173-1376
Mailing address
101 Fitness Way
Suite 2100
Athens, AL 35611-2480
Phone (256) 216-9730
Other practice location 1
101 Fitness Way
Suite 2100
Athens, AL 35611-2480
Phone (256) 216-9730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1001 Brocks Gap Pkwy
Suite 115
Hoover, AL 35244-4082
Phone (205) 848-2273
117 N Chalkville Rd
Trussville, AL 35173-1376
Phone (205) 848-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34406 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Urgent Care, LLC | Multi-Specialty | Current | Accepting new patients |
| Signify Health, LLC | Multi-Specialty | Current | Accepting new patients |
Locations
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273
117 N Chalkville Rd
Trussville, AL 35173
Phone (205) 848-2273
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1922442755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 FITNESS WAY",
"address_2": "SUITE 2100",
"city": "ATHENS",
"state": "AL",
"postal_code": "356112480",
"telephone_number": "256-216-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N CHALKVILLE RD",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351731376",
"telephone_number": "205-847-2780",
"fax_number": "205-847-2781"
}
],
"practiceLocations": [
{
"address_1": "101 Fitness Way",
"address_2": "Suite 2100",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "AL",
"postal_code": "356112480",
"country_code": "US",
"telephone_number": "256-216-9730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EL KHATIB",
"first_name": "MOHAMAD",
"middle_name": "MOUSTAPHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-23",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "AL",
"license": "34406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trussville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.