Individual provider Active NPI

Inam Khan, D.O.

  • Student in an Organized Health Care Education/Training Program
  • Columbus, OH
National Provider Identifier
1316067820
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
800 McConnell Dr
Columbus, OH 43214-3463
Phone
(614) 533-6297
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.010135CTR OH
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

800 McConnell Dr
Columbus, OH 43214-3463

Mailing address

800 McConnell Dr
Columbus, OH 43214-3463
Phone (614) 533-6297

Other practice location 1

55 Arch St
Suite 1B
Akron, OH 44304-1423
Phone (330) 375-3315

Other practice location 2

140 Morris Rd
Circleville, OH 43113-1362
Phone (740) 420-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.fam.med.circleville@adena.medicity.net

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
I20110809000642 OH Practitioner - Internal Medicine 8527104637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

10553 Saint Clair Ave
Cleveland, OH 44108-1973
Phone (216) 682-7702

3096 Cleveland Ave
Columbus, OH 43224-3682
Phone (614) 493-0846

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.010135CTROHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Oh Physicians Group PC Internal Medicine CurrentSince Oct 11, 2025 Accepting new patients

Locations

10553 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 682-7702

Organizations & group practices 1

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1316067820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MCCONNELL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143463",
            "telephone_number": "614-533-6297",
            "fax_number": "614-533-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MCCONNELL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143463",
            "telephone_number": "614-533-6297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Arch St",
            "address_2": "Suite 1B",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041423",
            "country_code": "US",
            "telephone_number": "330-375-3315",
            "fax_number": "330-375-7779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Morris Rd",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431131362",
            "country_code": "US",
            "telephone_number": "740-420-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "INAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.010135CTR",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.circleville@adena.medicity.net",
            "affiliation": "N",
            "address_1": "140 Morris Rd",
            "city": "Circleville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431131362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.