Individual provider Active NPI

Asma N Khatri, MD

  • Infectious Disease Physician
  • Cleveland, TN
National Provider Identifier
1033436837
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
52820 Issued in TN
Practice address
2253 Chambliss Ave NW
Ste 400
Cleveland, TN 37311-3861
Phone
(423) 664-5165
Fax
(423) 664-5165
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X 52820 TN Primary

Addresses

Primary practice location

2253 Chambliss Ave NW
Ste 400
Cleveland, TN 37311-3861

Mailing address

2253 Chambliss Ave NW
Ste 400
Cleveland, TN 37311-3861
Phone (423) 664-5165

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asma.khatri.1@1525.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150803002161 TN Practitioner - Infectious Disease 9436392859 Reassigns benefits to 2 organizations
I20151022002563 GA Practitioner - Infectious Disease 9436392859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Bradley Physician Services, LLCGroup PAC ID 8123563392, 77 clinicians

Practice addresses (Care Compare)

2253 Chambliss Ave NW
Suite 400
Cleveland, TN 37311-3861
Phone (423) 472-5986

Hospital & facility affiliations

  • Amedisys Home Health Chattanooga Home health agency, Chattanooga, TN, CCN 447156
  • Affiliate of Vitruvian Health Hospital, Cleveland, TN, CCN 440185
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52820TNMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Id Group, PLLC CurrentSince Sep 1, 2015 Accepting new patients
Bradley Physician Services, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

1000 E 3rd St
Ste 302
Chattanooga, TN 37403
Phone (423) 265-5044

2253 Chambliss Ave NW
Ste 400
Cleveland, TN 37311
Phone (423) 472-5986

2800 Westside Dr NW
Cleveland, TN 37312
Phone (423) 339-4100

2700 Westside Dr NW
Ste 204
Cleveland, TN 37312
Phone (423) 476-3711

Interoperability endpoints

  • Direct secure messaging: asma.khatri.1@31613.direct.athenahealth.com
  • Direct secure messaging: asma.khatri.1@1525.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1033436837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW",
            "address_2": "STE 400",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-664-5165",
            "fax_number": "423-664-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW",
            "address_2": "STE 400",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-664-5165",
            "fax_number": "423-664-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "ASMA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "52820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asma.khatri.1@1525.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "2253 CHAMBLISS AVE NW",
            "address_2": "STE 400",
            "city": "CLEVELAND",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373113861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.