Individual provider Active NPI

Ibthaj Ur Rehman Khilji

  • Family Medicine Physician
  • Hebron, KY
National Provider Identifier
1235756743
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
62048 Issued in KY
Practice address
2000 Litton LN
Hebron, KY 41048-8611
Phone
(859) 334-8700
Fax
(859) 334-8707
NPI assigned
Jun 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.147558 OH
Family Medicine Physician 207Q00000X 62048 KY Primary

Addresses

Primary practice location

2000 Litton LN
Hebron, KY 41048-8611

Mailing address

217 Hughes Blvd
Mount Orab, OH 45154-8356
Phone (937) 550-3657

Other practice location 1

217 Hughes Blvd
Mount Orab, OH 45154-8356
Phone (937) 550-3657

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000417 OH Practitioner - Family Practice 7315305513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams County Regional Medical CenterGroup PAC ID 8921431131, 34 clinicians

Practice addresses (Care Compare)

19262 State Route 136
Winchester, OH 45697-9571
Phone (937) 695-0770

4881 State Route 125
Georgetown, OH 45121-9550
Phone (937) 378-3075

Hospital & facility affiliations

  • Adams County Regional Medical Center Hospital, Seaman, OH, CCN 361326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.147558OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Regional Medical Center CurrentSince Jul 15, 2023 Accepting new patients
Adams County Regional Medical Center CurrentSince Jul 15, 2023 Accepting new patients
Adams County Regional Medical Center Past Accepting new patients
Adams County Regional Medical Center Past Accepting new patients
Summit Medical Group, Inc. PastSince Aug 1, 2026 Accepting new patients
Adams County Regional Medical Center Past Accepting new patients

Locations

4881 State Route 125
Georgetown, OH 45121
Phone (937) 378-2526

217 Hughes Blvd
Mount Orab, OH 45154
Phone (937) 346-8826

154 Elliott Ave
Peebles, OH 45660
Phone (937) 587-2618

230 Medical Center Dr
Seaman, OH 45679
Phone (937) 386-3400

Interoperability endpoints

  • Direct secure messaging: ibthaj.ur.rehman.khilji.1@18549.direct.athenahealth.com

Organizations & group practices 6

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 1

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1235756743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HUGHES BLVD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451548356",
            "telephone_number": "937-550-3657",
            "fax_number": "937-661-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LITTON LN",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488611",
            "telephone_number": "859-334-8700",
            "fax_number": "859-334-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Hughes Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Orab",
            "state": "OH",
            "postal_code": "451548356",
            "country_code": "US",
            "telephone_number": "937-550-3657",
            "fax_number": "937-661-2683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHILJI",
        "first_name": "IBTHAJ UR REHMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.147558",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "62048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, KY

Sources for this page

Verify at the official NPI Registry.