Khaled Al-Robaidi, MD
Individual provider Active NPI Neurology with Special Qualifications in Child Neurology Physician · Dayton, OH
NPI 1063973527 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1063973527
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician 2084N0402X
- License
- 35.152057 (OH)
- Practice address
- 1 Childrens PLZ
Dayton, OH 45404-1873 - Phone
- (937) 641-4000
- Fax
- (937) 641-4500
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250707003474 | OH | Practitioner - Neurology | 7012259468 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayton Children'S Specialty Physicians, Inc. | Current |
Accepting new patients | |
| Dayton Children'S Specialty Physicians, Inc. | Current |
Accepting new patients | |
| Dayton Children'S Hospital | Past | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | 35.152057 | OH | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 35.152057 | OH | Yes |
Addresses
Primary practice location
1 Childrens PLZ
Dayton, OH 45404-1873
Mailing address
PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-5072
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051643 | Medicaid | OH |
Other providers in Dayton, OH
- Hend Al Issa
- Nada Al-Barqawi
- Dania Al-Hamad
- Rebecca Lynn Al-Hamdani
- Hani Ali Mohammed N. Al-Najjar
- Maher Al-Samkari
- Osama Al-Samkari
- Noor F Al-Shaikhli
- Tabata C Alain
- Bana Alajati
All providers in Dayton, OH · Neurology with Special Qualifications in Child Neurology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.