Individual provider Active NPI

Omar Khan, MD

  • Diagnostic Radiology Physician
  • Dayton, OH
National Provider Identifier
1104211309
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.141235 Issued in OH
Practice address
1 Wyoming St
Dayton, OH 45409-2722
Phone
(937) 208-3118
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 281871 MA
Diagnostic Radiology Physician 2085R0202X 35.141235 OH Primary

Addresses

Primary practice location

1 Wyoming St
Dayton, OH 45409-2722

Mailing address

PO Box 750243
Dayton, OH 45475-0243
Phone (937) 709-5051

Other practice location 1

55 Fruit St # 210
Boston, MA 02114-2696
Phone (617) 726-7717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 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
I20210616003204 OH Practitioner - Diagnostic Radiology 8022322791 Reassigns benefits to 1 organization
I20250512001352 IL Practitioner - Diagnostic Radiology 8022322791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wright State University Boonshoft School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northgate Medical Imaging LLCGroup PAC ID 5193744209, 43 clinicians
Radiology Physicians IncGroup PAC ID 9537060470, 62 clinicians
Radiology Associates IncGroup PAC ID 9436045259, 57 clinicians

Practice addresses (Care Compare)

Woodridge, IL 60517
Phone (812) 949-0807

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

3540 Irving PL
Woodridge, IL 60517-3992
Phone (812) 949-0807

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
  • Harrison County Hospital Hospital, Corydon, IN, CCN 151331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.141235OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates Inc Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Radiology Physicians Inc Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations (25 of 36)

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

1244 Meadow Bridge Dr
Beavercreek, OH 45434
Phone (937) 222-3118

2400 Lakeview Dr
Ste 100
Beavercreek, OH 45431
Phone (937) 429-4369

2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366

2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469

1222 S Patterson Blvd
Ste 360
Dayton, OH 45402
Phone (937) 496-2620

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

1530 Needmore Rd
Ste 301
Dayton, OH 45414
Phone (937) 938-9960

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

1 Wyoming St
Ste 4120
Dayton, OH 45409

1520 S Main St
Dayton, OH 45409
Phone (937) 223-1279

9000 N Main St
Ste G
Englewood, OH 45415

9000 N Main St
Ste 333
Englewood, OH 45415
Phone (937) 832-8400

9000 N Main St
Ste 100
Englewood, OH 45415

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

742 Sweitzer St
Ste 3
Greenville, OH 45331
Phone (937) 459-5941

4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417

3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221

3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066

580 N State Route 741
Lebanon, OH 45036
Phone (513) 226-2357

300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

501 Atrium Dr
Middletown, OH 45005
Phone (937) 245-6320

4214 Grand Ave
Middletown, OH 45044
Phone (513) 727-8860

35 Overbrook Dr
Ste 100
Monroe, OH 45050
Phone (513) 539-7356

Interoperability endpoints

  • Direct secure messaging: okhan525323@direct.hfhs.org

Organizations & group practices 4

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 8

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1104211309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750243",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454750243",
            "telephone_number": "937-709-5051",
            "fax_number": "937-709-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-3118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St # 210",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142696",
            "country_code": "US",
            "telephone_number": "617-726-7717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "OMAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "281871",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.141235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.