Individual provider Active NPI

Khalid A Sabir

  • Peer Specialist
  • Solon, OH
National Provider Identifier
1306564026
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
AP.003478 Issued in OH
Practice address
29201 Aurora Rd
Solon, OH 44139-1846
Phone
(800) 577-2054
NPI assigned
Aug 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X AP.003478 OH Primary

Addresses

Primary practice location

29201 Aurora Rd
Solon, OH 44139-1846

Mailing address

16321 Lorain Ave Apt 610
Cleveland, OH 44111-5548
Phone (312) 477-6756

Other identifiers 1

IdentifierTypeStateIssuer
APS.003478OtherOHMHSA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Thrive Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP.003478OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1306564026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16321 LORAIN AVE APT 610",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115548",
            "telephone_number": "312-477-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 AURORA RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391846",
            "telephone_number": "800-577-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIR",
        "first_name": "KHALID",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "AP.003478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHSA",
            "identifier": "APS.003478",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Thrive",
            "affiliation": "N",
            "endpointDescription": "Thrive",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16321 Lorain Ave Apt 610",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441115548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.