Active NPI
Khaled Abou El-Ezz, MB CHB
- Hospitalist Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 35136439
- Practice address
- 234 Goodman St
Cincinnati, OH 45219 - Phone
- (513) 475-8000
- Fax
- (513) 584-0468
- NPI assigned
- Aug 7, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
AZ, Internal Medicine
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
Family Medicine, OH
-
- Internal Medicine Physician
- Canton, OH
- NPI 1639119027
Family Medicine, OH
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Family Medicine, OH
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1043805690
Internal Medicine, OH
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN, Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1508029422
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- City of Hope Medical Group of Arizona LLC
Practice addresses (Care Compare)
14200 W Celebrate Life Way
Goodyear, AZ 85338-3007
Phone (623) 207-3000
Hospital & facility affiliations
- City of Hope Cancer Center Phoenix
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.52 of 100
- Quality
- 66.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 58.3
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 3
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140825002272 | IN | Practitioner - Internal Medicine | 0143448639 | Reassigns benefits to 2 organizations |
| I20190626003438 | OH | Practitioner - Internal Medicine | 0143448639 | Reassigns benefits to 4 organizations |
| I20240828002958 | AZ | Practitioner - Medical Oncology | 0143448639 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136247 | FL | MD | Internal Medicine Physician |
| 6624 | NE | MD | Internal Medicine Physician |
| 35136439 | OH | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Family Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Richland County, LTD | Family Medicine | Current | Accepting new patients |
| City of Hope Medical Group of Arizona LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Family Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Ohio, LLC | Internal Medicine | Current | Accepting new patients |
Locations
14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000
6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
2400 17th St
Columbus, IN 47201
Phone (812) 373-3025
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335
3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- kabouelezz187894@cityofhope.direct-ci.com
- kabouelezz269881@direct.uchealth.com
Specialties & licenses 5
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 136247 | FL | |
| Internal Medicine Physician | 207R00000X | 35136439 | OH | |
| Internal Medicine Physician | 207R00000X | 01074247A | IN | |
| Internal Medicine Physician | 207R00000X | 6624 | NE | |
| Hospitalist Physician | 208M00000X | 35136439 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
234 Goodman St
Cincinnati, OH 45219
Mailing address
2830 Victory Pkwy
Cincinnati, OH 45206-1785
Phone (513) 245-3104
Other practice location 1
601 W 2nd St
Bloomington, IN 47403
Phone (812) 676-4102
Other practice location 2
234 Goodman St
Cincinnati, OH 45219
Phone (513) 475-8000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2019.
{
"created_epoch": "1312675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1174802201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061785",
"telephone_number": "513-245-3104",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45219",
"telephone_number": "513-475-8000",
"fax_number": "513-584-0468"
}
],
"practiceLocations": [
{
"address_1": "601 W 2nd St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "47403",
"country_code": "US",
"telephone_number": "812-676-4102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "234 Goodman St",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "45219",
"country_code": "US",
"telephone_number": "513-475-8000",
"fax_number": "513-584-0468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABOU EL-EZZ",
"first_name": "KHALED",
"credential": "MB CHB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-07",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "136247",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35136439",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01074247A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "6624",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35136439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.