Individual provider Active NPI

Ahmad S Khatri, MD

  • Family Medicine Physician
  • Richmond, IN
National Provider Identifier
1033568316
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01080752A Issued in IN
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

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, OH2 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
I20190829001445 IN Practitioner - Family Practice 6901197631 Reassigns benefits to 5 organizations
I20230914001074 OH Practitioner - Family Practice 6901197631 Reassigns benefits to 5 organizations

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
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Mvhe IncGroup PAC ID 9537066584, 399 clinicians
Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians

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

LicenseStateTypeSpecialty
11018871AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hisey Physician Services, LLC CurrentSince May 1, 2024 Accepting new patients
Mvhe, Inc CurrentSince Dec 3, 2023 Accepting new patients
Sinclair Physician Services, LLC CurrentSince May 1, 2024 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Family Medicine CurrentSince Nov 18, 2024 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Jul 21, 2019 Accepting new patients
Hospitalist Physicians of Indiana, PC Family Medicine CurrentSince Aug 19, 2023 Accepting new patients
Mvhe Inc CurrentSince Dec 3, 2023 Accepting new patients
Mvhe Inc Family Medicine Current Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC CurrentSince Aug 1, 2023 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Jul 21, 2019 Accepting new patients
Upper Valley Professional Corporation Family Medicine CurrentSince Dec 3, 2023 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC CurrentSince Jul 30, 2019 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 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

  • Direct secure messaging: akhatri346842@reidhealth.direct-ci.com
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.