Individual provider Active NPI

Faizuddin Khaja, MD

  • Ophthalmology Physician
  • Cincinnati, OH
National Provider Identifier
1043409873
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.097073 Issued in OH
Practice address
2055 Reading Rd
Suite 330
Cincinnati, OH 45202-1461
Phone
(513) 381-1900
Fax
(513) 287-6403
NPI assigned
Oct 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.097073 OH Primary
Ophthalmology Physician 207W00000X 44434 KY
Retina Specialist (Ophthalmology) Physician 207WX0107X 35.097073 OH
Retina Specialist (Ophthalmology) Physician 207WX0107X 44434 KY

Addresses

Primary practice location

2055 Reading Rd
Suite 330
Cincinnati, OH 45202-1461

Mailing address

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017-3931
Phone (859) 581-7120

Other identifiers 2

IdentifierTypeStateIssuer
7100170190MedicaidKY
0050894MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20110831000178 OH Practitioner - Ophthalmology 1850561861 Reassigns benefits to 1 organization
I20111003000768 KY Practitioner - Ophthalmology 1850561861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Centers for Sight IncGroup PAC ID 7113812090, shared by 8 NPIs, 37 clinicians

Practice addresses (Care Compare)

2865 Chancellor Dr
Suite 210
Crestview Hills, KY 41017-3931
Phone (859) 331-1058

4452 Eastgate Blvd
Suite 305
Cincinnati, OH 45245-1584
Phone (513) 752-5700

500 Thomas More Pkwy
Crestview Hills, KY 41017-3454
Phone (859) 341-4525

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.097073OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Centers for Sight Inc Ophthalmology CurrentSince Sep 1, 2011 Accepting new patients
Tristate Centers for Sight, Inc. Ophthalmology CurrentSince Jan 11, 2014 Accepting new patients
Tri-State Centers for Sight Inc Ophthalmology CurrentSince Sep 1, 2011 Accepting new patients
Tri-State Centers for Sight, Inc. Ophthalmology Current Accepting new patients
Tri-State Centers for Sight, Inc. Ophthalmology Current Accepting new patients
Tri-State Centers for Sight Inc Past Accepting new patients

Locations

2865 Chancellor Dr
Ste 210
Crestview Hills, KY 41017
Phone (859) 331-1058

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017
Phone (606) 341-6660

7510 US Route 42
Florence, KY 41042
Phone (513) 671-6112

8780 US Highway 42
Florence, KY 41042
Phone (859) 384-2660

500 Thomas More Pkwy
Ft Mitchell, KY 41017
Phone (859) 341-4525

7730 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 791-5999

2055 Reading Rd
Ste 330
Cincinnati, OH 45202
Phone (513) 381-1900

4452 Eastgate Blvd
Ste 305
Cincinnati, OH 45245
Phone (513) 752-5700

1060 Nimitzview Dr
Ste 105
Cincinnati, OH 45230
Phone (513) 232-2500

8044 Montgomery Rd
Ste 155
Cincinnati, OH 45236
Phone (513) 731-7967

12124 Sheraton Ln
Springdale, OH 45246
Phone (513) 381-1900

8760 Union Centre Blvd
West Chester, OH 45069
Phone (513) 454-0544

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1043409873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR",
            "address_2": "STE 215",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173931",
            "telephone_number": "859-581-7120",
            "fax_number": "859-581-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 READING RD",
            "address_2": "SUITE 330",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021461",
            "telephone_number": "513-381-1900",
            "fax_number": "513-287-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAJA",
        "first_name": "FAIZUDDIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-17",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.097073",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "44434",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35.097073",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "44434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100170190",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.