Individual provider Active NPI

Hamid R Khatibi, MD

  • Hospitalist Physician
  • Lima, OH
National Provider Identifier
1306325931
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35.134165 Issued in OH
Practice address
730 W. Market St.
Lima, OH 45801-4667
Phone
(419) 226-4310
Fax
(419) 226-4315
NPI assigned
Aug 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.134165 OH Primary

Addresses

Primary practice location

730 W. Market St.
Lima, OH 45801-4667

Mailing address

730 W. Market St.
Lima, OH 45801-4667
Phone (419) 226-4310

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
I20181023001789 OH Practitioner - Internal Medicine 1355694266 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC Hospitalist CurrentSince Jan 20, 2024 Accepting new patients
KND Development 59 LLC Hospitalist CurrentSince Jan 20, 2024 Accepting new patients
KND Development 59 LLC Hospitalist Current Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Hospitalist CurrentSince Sep 1, 2020 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

730 W Market St
#2K
Lima, OH 45801
Phone (419) 996-5852

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1306325931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 W. MARKET ST.",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014667",
            "telephone_number": "419-226-4310",
            "fax_number": "419-226-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W. MARKET ST.",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014667",
            "telephone_number": "419-226-4310",
            "fax_number": "419-226-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIBI",
        "first_name": "HAMID",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.134165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.