Shazia Khan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35085441 Issued in OH

Practice address

930 9TH Ave
Middletown, OH 45044

Phone

(513) 425-8305

Fax

(513) 425-1810

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shazia Salah Former name

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Camargo Leasing Co, LLC

  • Skilled Nursing Facility
  • Madeira, OH
  • NPI 1730762873

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Keller Leasing Co, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1871176016

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Verulam Leasing Co, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1124601265

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Wyoming Leasing Co, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1811570955

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Hospitalist Medicine Physicians of Ohio, Professional Corporation

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1043572290

  Family Medicine

  Medicare reassignment NPD
• PA Post Acute Services PC

  • General Practice Physician
  • Masury, OH
  • NPI 1255057063
  Medicare reassignment NPD
• CNP Operating Co LLC

  • Multi-Specialty Clinic/Center
  • Salisbury, MD
  • NPI 1518386739

  OH

  Medicare reassignment
• Butler County Community Health Consortium, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fairfield Township, OH
  • NPI 1073322616
  NPD (past)
• Butler County Community Health Consortium, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oxford, OH
  • NPI 1780346965
  NPD (past)
• Camargo Leasing Co, LLC

  • Skilled Nursing Facility
  • Madeira, OH
  • NPI 1730762873
  NPD (past)
• Keller Leasing Co, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1871176016
  NPD (past)
• Kenwood Hospitalists, LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1912953951
  NPD (past)
• Montgomery Hospitalists LLC

  • Hospitalist Physician
  • Cincinnati, OH
  • NPI 1013158815
  NPD (past)
• Verulam Leasing Co, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1124601265
  NPD (past)
• Wyoming Leasing Co, LLC

  • Skilled Nursing Facility
  • Cincinnati, OH
  • NPI 1811570955
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154367290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8197 LAWRENCE RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-779-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 9TH AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "45044",
            "telephone_number": "513-425-8305",
            "fax_number": "513-425-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAZIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35085441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2602615",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "A298815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAZIA",
            "last_name": "SALAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Kennedy, CT
• Kensington Health & Rehab Center, LLC
• Kevren Inc
• Key Better Days Soceity
• Mohammad Atiq Khalid, M.D.
• Ray E Kiefhaber, M.D.
• Kelsey Kies, CNP
• Courtney Killin
• Bo-Kyu Kim, M.D.
• Heather B. Lynette Kimbrough, APRN

• Family Medicine Physician in Middletown, OH
• Providers in Middletown, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.