Khaled Gad

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07-008861 Issued in IL

Practice address

7400 Columbia Ave
Hammond, IN 46324-2822

Phone

(219) 803-4483

Fax

(219) 937-2522

NPI assigned

Mar 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Residential Clinical Services, Inc.

  • Home Health Agency
  • Merrillville, IN
  • NPI 1376549410

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Faith Home Health Care, Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1225210495

  5% Or Greater Indirect Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Regency Home Health Care, P.C.

  • Home Health Agency
  • Oak Lawn, IL
  • NPI 1093741415

  5% Or Greater Direct Ownership Interest

  CMS ownership

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.

• American United Physical Therapy P.C.

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1881843290
  Medicare reassignment
• Faith Home Health Care, Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1225210495
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285764878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606174225",
            "telephone_number": "773-721-5656",
            "fax_number": "777-372-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 COLUMBIA AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463242822",
            "telephone_number": "219-803-4483",
            "fax_number": "219-937-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAD",
        "first_name": "KHALED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "07-008861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexyis Frederick, CPT, CCMA
• Freedome Counseling,LLC
• Fresenius Medical Care NW Indiana, LLC (Fresenius Medical Care - North Hammond)
• Anesha Fultz
• G & S Durable Medical Equipment and Supplies LLC
• Rujuta R Gandhi, M.D.
• Lucas J Gaspar, DPT
• Evan H Geissler, D.O.
• Gina E Geissler, AU.D., FAAA
• Genoa Healthcare LLC

• Physical Therapist in Hammond, IN
• Providers in Hammond, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.