Individual provider Active NPI

Khaled Abou El-Ezz, MB CHB

  • Hospitalist Physician
  • Cincinnati, OH
National Provider Identifier
1174802201
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35136439 Issued in OH
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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 159 clinicians

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 Hospital, Goodyear, AZ, CCN 030138

Merit-based Incentive Payment System (MIPS)

Final score
78.52 of 100Reported as group
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, AZ3 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.

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
136247FLMDInternal Medicine Physician
6624NEMDInternal Medicine Physician
35136439OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Family Medicine CurrentSince Nov 9, 2022 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
City of Hope Medical Group of Arizona LLC Internal Medicine CurrentSince Jul 15, 2024 Accepting new patients
Hospitalist Medicine Physicians of Indiana, LLC Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince May 31, 2021 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

  • Direct secure messaging: kabouelezz187894@cityofhope.direct-ci.com
  • Direct secure messaging: kabouelezz269881@direct.uchealth.com

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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

Verify at the official NPI Registry.