NPIMap

Individual provider Active NPI

Houman H Khosrovi, MD

  • Neurological Surgery Physician
  • Belpre, OH
National Provider Identifier
1235106832
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35.076601 Issued in OH
Practice address
407 Main St Ste 2
Belpre, OH 45714-1615
Phone
(304) 865-3600
NPI assigned
Mar 2, 2006
Last updated
May 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35.076601 OH Primary

Addresses

Primary practice location

407 Main St Ste 2
Belpre, OH 45714-1615

Mailing address

1212 Garfield Ave
Suite 300
Parkersburg, WV 26101-3207
Phone (304) 865-3600

Other identifiers 2

IdentifierTypeStateIssuer
2146476MedicaidOH
0089271000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040405000427 OH Practitioner - Neurosurgery 5395737407 Reassigns benefits to 2 organizations
I20040413000578 WV Practitioner - Neurosurgery 5395737407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
West Virginia University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Mon Health Medical Park Dr
Suite 1100
Morgantown, WV 26505-1143
Phone (304) 598-2200

407 Main St
Suite 2
Belpre, OH 45714-1615
Phone (740) 315-5706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion191
Laminectomy or laminotomy (partial removal of spine bones)38
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Apr 29, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Apr 29, 2022 Accepting new patients
Monongalia County General Hospital Company CurrentSince Jul 1, 2024 Accepting new patients
Charleston Area Medical Center Inc Neurological Surgery CurrentSince Apr 1, 2024 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

2501 Deep Creek Dr
Ste 200
Mc Henry, MD 21541
Phone (304) 599-8802

407 Main St
Ste 1
Belpre, OH 45714
Phone (304) 615-2454

407 Main St
Ste 2
Belpre, OH 45714
Phone (740) 315-5706

1452 Clark St
Cambridge, OH 43725
Phone (740) 421-9240

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

2222 Cherry St
Ste M200
Toledo, OH 43608
Phone (419) 251-1155

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

501 Railroad Ave
Elkins, WV 26241
Phone (304) 636-5006

1 Huntington Way
Ste 100
Fairmont, WV 26554
Phone (304) 363-6210

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1000 Mon Health Medical Park Dr
Ste 1100
Morgantown, WV 26505
Phone (304) 598-2200

1000 Mon Health Medical Park Dr
Ste 1103
Morgantown, WV 26505
Phone (304) 285-2835

1200 J D Anderson Dr
Ste 301
Morgantown, WV 26505
Phone (304) 598-1996

1212 Garfield Ave
Ste 300
Parkersburg, WV 26101
Phone (304) 424-4130

600 18th St
Ste 606
Parkersburg, WV 26101
Phone (304) 424-4130

Interoperability endpoints

  • Direct secure messaging: hkhosrovi108802@direct.wvuhsdirect.com
  • Direct secure messaging: houman.khosrovi.1@29596.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1235106832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 GARFIELD AVE",
            "address_2": "SUITE 300",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013207",
            "telephone_number": "304-865-3600",
            "fax_number": "304-865-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 MAIN ST STE 2",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141615",
            "telephone_number": "304-865-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSROVI",
        "first_name": "HOUMAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.076601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146476",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089271000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.