Individual provider Active NPI

Baber Khan, MD

  • Neurology Physician
  • Cincinnati, OH
National Provider Identifier
1073964847
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.141075 Issued in OH
Practice address
4805 Montgomery Rd Ste 410
Cincinnati, OH 45212-2198
Phone
(513) 961-5558
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 54930 KY
Neurology Physician 2084N0400X 35.141075 OH Primary

Addresses

Primary practice location

4805 Montgomery Rd Ste 410
Cincinnati, OH 45212-2198

Mailing address

4805 Montgomery Rd Ste 150
Cincinnati, OH 45212-2280
Phone (513) 961-5558

Other practice location 1

320 Thomas More Pkwy
Crestview Hills, KY 41017-3410
Phone (859) 341-4266

Other identifiers 3

IdentifierTypeStateIssuer
0437250MedicaidOH
300054158MedicaidIN
7100737150MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, 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
I20210817004119 KY Practitioner - Neurology 3274826730 Reassigns benefits to 1 organization
I20210826003242 OH Practitioner - Neurology 3274826730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Un of California, Irvine, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverhills Healthcare IncGroup PAC ID 6103719596, 48 clinicians

Practice addresses (Care Compare)

320 Thomas More Pkwy
Crestview Hills, KY 41017-3410
Phone (859) 341-4266

4805 Montgomery Rd
Suite 410
Cincinnati, OH 45212-2198
Phone (513) 241-2370

Hospital & facility affiliations

  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • St Elizabeth Florence Hospital, Florence, KY, CCN 180045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54930KYMDNeurology Physician
35.141075OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverhills Healthcare Inc Neurology CurrentSince Sep 1, 2021 Accepting new patients
Riverhills Healthcare, Inc. Neurology PastSince Jan 31, 2021 Accepting new patients

Locations

320 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (800) 243-1090

320 Thomas More Pkwy
Ste 202
Crestview Hills, KY 41017
Phone (513) 624-7246

4805 Montgomery Rd
Ste 410
Cincinnati, OH 45212
Phone (513) 241-2370

4805 Montgomery Rd
Ste 150
Cincinnati, OH 45212
Phone (513) 241-2370

Interoperability endpoints

  • Direct secure messaging: bkhan@rhi.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

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 5

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1073964847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 150",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122280",
            "telephone_number": "513-961-5558",
            "fax_number": "513-961-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 MONTGOMERY RD STE 410",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122198",
            "telephone_number": "513-961-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Thomas More Pkwy",
            "address_purpose": "LOCATION",
            "city": "Crestview Hills",
            "state": "KY",
            "postal_code": "410173410",
            "country_code": "US",
            "telephone_number": "859-341-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "BABER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "54930",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.141075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437250",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300054158",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100737150",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.