Active NPI
Ahmad S Khatri, MD
- Family Medicine Physician
- Richmond, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01080752A
- Practice address
- 1100 Reid Pkwy
Richmond, IN 47374-1157 - Phone
- (765) 983-3492
- Fax
- (765) 983-7958
- NPI assigned
- Jun 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11018871A | IN | |
| Family Medicine Physician | 207Q00000X | 01080752A | IN | Primary |
Addresses
Primary practice location
1100 Reid Pkwy
Richmond, IN 47374-1157
Mailing address
750 Broadway Ste 150
Fort Wayne, IN 46802-1412
Phone (260) 423-2675
Other practice location 1
750 Broadway Ste 350
Fort Wayne, IN 46802-1412
Phone (260) 423-2675
Other practice location 2
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 741-1515
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akhatri346842@ReidHealth.direct-ci.com | Reid Physician Associates, Inc. | |
| Direct Messaging Address | akhatri@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2400 Miami Valley Dr
Centerville, OH 45459-4774
Phone (937) 208-8394
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111
2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831
702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (260) 425-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11018871A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hisey Physician Services, LLC | Current | Accepting new patients | |
| Mvhe, Inc | Current | Accepting new patients | |
| Sinclair Physician Services, LLC | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Family Medicine | Current | Accepting new patients |
| Hospitalist Physicians of Indiana, PC | Family Medicine | Current | Accepting new patients |
| Mvhe Inc | Current | Accepting new patients | |
| Mvhe Inc | Family Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Ohio, LLC | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Family Medicine | Current | Accepting new patients |
| Upper Valley Professional Corporation | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Indiana, LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Fort Wayne Medical Education Program | Family Medicine | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
1205 Provident Dr
#A
Warsaw, IN 46580
Phone (574) 269-8383
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Interoperability endpoints
- akhatri346842@reidhealth.direct-ci.com
- akhatri346842@ecommunitydirect.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
Family Medicine
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
-
- Hospitalist Physician
- Middletown, OH
- NPI 1073380614
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Hospitalist Physician
- Dayton, OH
- NPI 1063289601
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
-
dba Sound Physicinas of Indiana
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
Family Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
- Critical Access Hospital
- Portland, IN
- NPI 1801315692
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
dba Marion General Hospital Nutritional Support
- Nutrition Support Registered Nurse
- Marion, IN
- NPI 1861578072
Hospital
-
dba Marion General Hospital Ambulance Service
- Land Ambulance
- Marion, IN
- NPI 1932295466
Hospital
-
dba Lutheran Kosciusko Hospital
- General Acute Care Hospital
- Warsaw, IN
- NPI 1164475711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1033568316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 BROADWAY STE 150",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468021412",
"telephone_number": "260-423-2675",
"fax_number": "260-423-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 REID PKWY",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741157",
"telephone_number": "765-983-3492",
"fax_number": "765-983-7958"
}
],
"practiceLocations": [
{
"address_1": "750 Broadway Ste 350",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468021412",
"country_code": "US",
"telephone_number": "260-423-2675",
"fax_number": "260-423-6621",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-741-1515",
"fax_number": "765-751-5087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHATRI",
"first_name": "AHMAD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-08",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11018871A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01080752A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akhatri346842@ReidHealth.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Reid Physician Associates, Inc.",
"address_1": "750 Broadway Ste 350",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468021412",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "akhatri@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.