Active NPI
Omar Faisal Khatib, M.D.
- Interventional Cardiology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 01073890A
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Community Hospital of Anderson and Madison County
- Community Hospital East
- Ascension St Vincent Anderson
- Community Hospital North
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.094154 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physician Network Specialty Care LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Internal Medicine | Current | Accepting new patients |
| Indiana University Health, Inc | Current | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1588535496
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Internal Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1376586719
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Psychiatric Hospital Unit
- Indianapolis, IN
- NPI 1679545966
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1679578850
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.