DR. CLARK TAREK KHOLEIF (M.D.) – Diagnostic Radiology Physician, NPI 1831484112
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,303 DIAGNOSTIC RADIOLOGY in TX
Provider Addresses for DR. CLARK TAREK KHOLEIF (M.D.)
1356 LUSITANA ST
7TH FLOOR
HONOLULU, HI 968132409
Phone:
Type: Mailing
46 COLUMBIA CREST PL
THE WOODLANDS, TX 773821334
Phone: (832) 465-5298
Type: Location
1356 Lusitana St
7th floor
Honolulu, HI 968132409
Phone: (808) 586-7477
Fax: (808) 586-7486
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160720000808 | I | Diagnostic Radiology | CA | TBD |
| I20170908002689 | I | Diagnostic Radiology | HI | TBD |
| I20190205000674 | I | Diagnostic Radiology | TX | TBD |
| I20241113000325 | I | Diagnostic Radiology | GA | TBD |
| I20250730002308 | I | Diagnostic Radiology | WI | TBD |
| I20250919002233 | I | Diagnostic Radiology | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 741 | 666 | $0 |
| 70450 | Ct scan head or brain without contrast | 676 | 645 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 378 | 364 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 354 | 347 | $0 |
| 72125 | Ct scan of upper spine without contrast | 219 | 214 | $0 |
Insurance plans in this area (ZIP 96813)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | CA | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology | VA | |
| - | NJ | |
| Interventional Radiology | MA | |
| - | NY |
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