NPIMap

Individual provider Active NPI

Mohammad A Khalil, MD

  • Internal Medicine Physician
  • Sherman, TX
National Provider Identifier
1962473660
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7566 Issued in TX
Practice address
321 N Highland Ave Ste 105
Sherman, TX 75092-7371
Phone
(903) 347-0001
Fax
(903) 347-0002
NPI assigned
Jan 30, 2006
Last updated
Jul 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 51306-020 WI
Sleep Medicine (Internal Medicine) Physician 207RS0012X 51306-020 WI
Internal Medicine Physician 207R00000X K7566 TX Primary
Pulmonary Disease Physician 207RP1001X 51306-020 WI

Addresses

Primary practice location

321 N Highland Ave Ste 105
Sherman, TX 75092-7371

Mailing address

15177 Snowshill Dr
Frisco, TX 75035-7243
Phone (903) 347-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040316000219 TX Practitioner - Internal Medicine 0941190987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

321 N Highland Ave
Suite 105
Sherman, TX 75092-7371
Phone (904) 347-0001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal76
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7566TXMDInternal Medicine Physician
51306-020WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Grayson Hospital LLC Current Accepting new patients
Trimuph Internal Medicine Associates Internal Medicine PastSince May 1, 2006 Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients
Texarkana Internal Medicine Association PA Internal Medicine Past Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mohammadkhalil@wnjrmc.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1962473660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15177 SNOWSHILL DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357243",
            "telephone_number": "903-347-0001",
            "fax_number": "903-347-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE STE 105",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927371",
            "telephone_number": "903-347-0001",
            "fax_number": "903-347-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MOHAMMAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "51306-020",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WI",
            "license": "51306-020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7566",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "51306-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.