Mostafa Khattab, DO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7754 Issued in OK

Practice address

1100 N Lindsay Ave
Oklahoma City, OK 73104-5410

Phone

(405) 271-4000

NPI assigned

May 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Ophthalmology

Education

Oklahoma State University College of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Triad Eye Institute PLLCGroup PAC ID 6507083557, 36 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkhattab@triadeye.intellechartdirect.net

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.

• Triad Eye Institute PLLC

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1093743213
  Medicare reassignment Care Compare group NPD
• Triad Eye Institute PLLC

  • Ophthalmology Physician
  • Tulsa, OK
  • NPI 1184010837
  NPD
• Oklahoma State University

  • Medical Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1306882261
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1982287439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 S 72ND EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741456805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N LINDSAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045410",
            "telephone_number": "405-271-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741279907",
            "country_code": "US",
            "telephone_number": "918-599-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATTAB",
        "first_name": "MOSTAFA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "7754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anupa Khastgir, MD
• Rumaish Khastgir
• Terrance Khastgir, MD
• Leann Khattab
• Mahmood Khattab, DO
• Omar Khattab
• Furqan Habib Khattak, MD
• Mohamad Osama Khawandanah, MD
• Brooke Khezri
• Sara Khizar, MD

• Ophthalmology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Ophthalmology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.

Verify at the official NPI Registry.