Active NPI
Aelius Ali Khan, MD
- Family Medicine Physician
- Kettering, OH
National Provider Identifier
1194352799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.151874
- Practice address
- 4441 Far Hills Ave
Kettering, OH 45429-2405 - Phone
- (937) 298-7351
- Fax
- (937) 298-9458
- NPI assigned
- Mar 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 35.151874 | OH | Primary |
Addresses
Primary practice location
4441 Far Hills Ave
Kettering, OH 45429-2405
Mailing address
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7351
Other practice location 1
809 82nd Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 848-4640
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241106003204 | OH | Practitioner - Family Practice | 6800296161 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Northeastern Ohio University College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Physicians Inc
Practice addresses (Care Compare)
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7351
Hospital & facility affiliations
- Kettering Homecare
- Kettering Health Main Campus
- Kettering Health Dayton
- Kettering Health Miamisburg
- Soin Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.151874 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Family Medicine | Current | Accepting new patients |
Locations
4441 Far Hills Ave
Kettering, OH 45429
Phone (937) 298-7351
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Interoperability endpoints
- aelius.khan@hca5.eclinicaldirectplus.com
- akhan65096@sharphealthcare.direct-ci.com
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.
-
- Urgent Care Clinic/Center
- Xenia, OH
- NPI 1952714420
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kettering, OH
- NPI 1639195332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1194352799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 FAR HILLS AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292405",
"telephone_number": "937-298-7351",
"fax_number": "372-989-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 FAR HILLS AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292405",
"telephone_number": "937-298-7351",
"fax_number": "937-298-9458"
}
],
"practiceLocations": [
{
"address_1": "809 82nd Pkwy",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295724607",
"country_code": "US",
"telephone_number": "843-848-4640",
"fax_number": "843-839-2382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "AELIUS",
"middle_name": "ALI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-24",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.151874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.