Individual provider Active NPI

Omar Faisal Khatib, M.D.

  • Interventional Cardiology Physician
  • Cleveland, OH
National Provider Identifier
1235306507
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01073890A Issued in IN
Practice address
9500 Euclid Ave
A91
Cleveland, OH 44195-0001
Phone
(216) 445-8975
NPI assigned
May 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.094154 OH
Interventional Cardiology Physician 207RI0011X 01073890A IN Primary

Addresses

Primary practice location

9500 Euclid Ave
A91
Cleveland, OH 44195-0001

Mailing address

29050 Detroit Rd Apt 220
Westlake, OH 44145-2092
Phone (440) 250-1572

Other practice location 1

1210 Medical Arts Blvd Ste 105A
Anderson, IN 46011-3437
Phone (765) 298-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20190123001012 IN Practitioner - Cardiovascular Disease (Cardiology) 4082760392 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Physician Network Specialty Care LLCGroup PAC ID 9931697265, 260 clinicians

Practice addresses (Care Compare)

1210 Medical Arts Blvd
Suite 104a
Anderson, IN 46011-3461
Phone (765) 298-4660

8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.094154OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Nov 18, 2019 Accepting new patients
Community Physician Network Specialty Care LLC CurrentSince Feb 10, 2026 Accepting new patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince Nov 18, 2019 Accepting new patients
Indiana University Health, Inc CurrentSince Feb 1, 2019 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Feb 1, 2019 Accepting new patients
University Medical Diagnostic Associates, Inc. Internal Medicine Past Accepting new patients
Community Health Network, Inc. Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

2242 Reliable Pkwy
Chicago, IL 60686

5819 Reliable Pkwy
Chicago, IL 60686

1210 Medical Arts Blvd
Ste 106A
Anderson, IN 46011
Phone (765) 298-4660

1210 Medical Arts Blvd
Ste 105A
Anderson, IN 46011
Phone (765) 298-4660

1210 Medical Arts Blvd
Ste 104A
Anderson, IN 46011
Phone (317) 355-7220

1515 N Madison Ave
Ste 260
Anderson, IN 46011
Phone (765) 298-4660

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

Interoperability endpoints

  • Direct secure messaging: okhatib354453@ecommunitydirect.com

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 4

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1235306507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29050 DETROIT RD APT 220",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452092",
            "telephone_number": "440-250-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "A91",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Medical Arts Blvd Ste 105A",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460113437",
            "country_code": "US",
            "telephone_number": "765-298-4660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "OMAR",
        "middle_name": "FAISAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.094154",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01073890A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.