DR. KHALDUN M KHATIB (M.D., PH.D.) – Gastroenterology Physician, NPI 1235352899

DR. KHALDUN M KHATIB (M.D., PH.D.) is a healthcare provider. based in Greenville, Texas. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. N5774 (TX). The NPI Number for DR. KHALDUN M KHATIB (M.D., PH.D.) is 1235352899

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. KHALDUN M KHATIB (M.D., PH.D.)
NPI
1235352899
Phone
(903) 408-7980
Address
4215 JOE RAMSEY BLVD E # 205
Enumeration Date
11 April 2007
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9034085000
Graduation Year
1999 (27 years ago)
PAC ID
3678628245
Group Practice PAC ID
6406768936
Professional Enrollment ID
I20100805000536
Address ID
TX754017852GR4215XEXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

Provider Addresses for DR. KHALDUN M KHATIB (M.D., PH.D.)

  • 4215 JOE RAMSEY BLVD E # 205

    GREENVILLE, TX 754017852

    Phone: (903) 408-7980

    Fax: (903) 408-7989

    Type: Mailing

  • 501 AIR PARK AVE

    GREENVILLE, TX 754023000

    Phone: (903) 408-5834

    Fax: (903) 408-5693

    Type: Mailing

  • 4211 JOE RAMSEY BLVD E STE 100

    GREENVILLE, TX 754017856

    Phone: (903) 408-7980

    Fax: (903) 408-7989

    Type: Location

  • 4215 JOE RAMSEY BLVD E

    GREENVILLE, TX 754017852

    Phone: (903) 408-5834

    Fax: (903) 408-5693

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $505.

Total Amount is formed as General ($505) + Research ($0) + Ownership ($0) = $505.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: ABBVIE INC. ($395).

Total Amount

$505

General + Research + Ownership

Payments

55

Total payment records

General Amount

$505

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-05

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100805000536IGastroenterologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes199194$0
99213Established patient office or other outpatient visit, 20-29 minutes172168$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare164163$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope149145$0
99204New patient office or other outpatient visit, 45-59 minutes140140$0
View full utilization report →

Insurance plans in this area (ZIP 75401)

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Provider's Procedures

DR. KHALDUN M KHATIB (M.D., PH.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope5656
GASTROENTEROLOGYTX45385Removal of polyps or growths of large bowel using an endoscope242240

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406768936View full group profile
NameSpecialtyState
Internal MedicineTX
Diagnostic Radiology, Interventional RadiologyTX
Diagnostic RadiologyTX
Nurse PractitionerTX
Family Practice, Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Diagnostic RadiologyTX
Internal MedicineTX
Internal MedicineTX

Reviews

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Frequently asked questions

Is there an official ID for DR. KHALDUN M KHATIB (M.D., PH.D.) in U.S. healthcare records?
The official identifier for DR. KHALDUN M KHATIB (M.D., PH.D.) is NPI 1235352899.
Is DR. KHALDUN M KHATIB (M.D., PH.D.) still an active registrant?
DR. KHALDUN M KHATIB (M.D., PH.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. KHALDUN M KHATIB (M.D., PH.D.)?
At a glance, DR. KHALDUN M KHATIB (M.D., PH.D.) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KHALDUN M KHATIB (M.D., PH.D.) located near Greenville?
DR. KHALDUN M KHATIB (M.D., PH.D.) currently maps to Greenville, Texas in this extract.
Does DR. KHALDUN M KHATIB (M.D., PH.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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