DR. MAURICE IBRAHIM KHAYAT (M.D.) – Internal Medicine Physician, NPI 1518209758
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
78 NEPHROLOGY in KS
Provider Addresses for DR. MAURICE IBRAHIM KHAYAT (M.D.)
550 Pope Ave
Fort Leavenworth, KS 660272332
Phone: (913) 684-6250
Type: Location
9040 Jackson Ave McHe-Qd (Creds)
Tacoma, WA 98431
Phone: (253) 968-1485
Fax: (253) 968-1188
Type: Location
3851 Roger Brooke Dr
MCHE-QD (Creds)
Fort Sam Houston, TX 782344501
Phone: (210) 916-2460
Fax: (210) 916-4721
Type: Location
5012 S US Highway 75 Ste 270
Denison, TX 750204597
Phone: (903) 357-5419
Fax: (903) 357-5517
Type: Location
9040 JACKSON AVE MCHE-QD (CREDS)
TACOMA, WA 984311100
Phone: (539) 681-4852
Fax: (253) 968-1188
Type: Mailing
550 POPE AVE
FORT LEAVENWORTH, KS 660272332
Phone:
Type: Mailing
4500 S LANCASTER RD
DALLAS, TX 752167167
Phone: (214) 857-0056
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.
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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: 2022-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20221003002191 | I | Nephrology | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 66027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| N E P H R O L O G Y | KS | |
| Physician Assistant | UT | |
| Nephrology, Internal Medicine | PA | |
| Nurse Practitioner | TX | |
| Internal Medicine, Nephrology | TX | |
| Nephrology, Internal Medicine | TX | |
| N E P H R O L O G Y | OK | |
| N E P H R O L O G Y | TX | |
| N E P H R O L O G Y | NY |
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