Active NPI
Fateh Elkhatib, MD
- Internal Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1265548341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 28367
- Practice address
- 4221 S Western Ave Ste 3030
Oklahoma City, OK 73109-3492 - Phone
- (405) 644-6232
- Fax
- (405) 636-7468
- NPI assigned
- Aug 22, 2006
- Last updated
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- No
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 | 28367 | OK | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 28367 | OK |
Addresses
Primary practice location
4221 S Western Ave Ste 3030
Oklahoma City, OK 73109-3492
Mailing address
5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (405) 644-6232
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G000362000 | Other | WA | MEDICARE GROUP |
| 8469413 | Medicaid | WA | |
| P00395883 | Other | WA | RR MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1265548341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-644-6232",
"fax_number": "405-636-7468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 S WESTERN AVE STE 3030",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093492",
"telephone_number": "405-644-6232",
"fax_number": "405-636-7468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKHATIB",
"first_name": "FATEH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "28367",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OK",
"license": "28367",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "G000362000",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8469413",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE ID",
"identifier": "P00395883",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
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- Mahmoud M Elkaissi, MD
- June R. Elkins-Baker, CADC
- Charles Craig Elkins, MD
- Emma Glen Elkins, FNP-C
- Ciby Abraham Ellampally, PHARM. D.
- Elledge Chiropractic Clinic PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.