Individual provider Active NPI

Tania Khalid, M.D

  • Hospitalist Physician
  • Evansville, IN
National Provider Identifier
1326019043
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01061641A Issued in IN
Practice address
600 Mary Street
Evansville, IN 47747-0001
Phone
(812) 450-7338
Fax
(812) 450-2193
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01011641A IN
Hospitalist Physician 208M00000X 01061641A IN Primary
Hospitalist Physician 208M00000X 13339 NV

Addresses

Primary practice location

600 Mary Street
Evansville, IN 47747-0001

Mailing address

7988 Bayshore CT
Newburgh, IN 47630-8367
Phone (812) 962-0858

Other identifiers 6

IdentifierTypeStateIssuer
1326019043MedicaidNV
200815550MedicaidIN
64114895MedicaidKY
000000391348OtherINBCBS - DEACONESS GATEWAY
000000391354OtherINBCBS - DEACONESS MARY ST
P00318221OtherINRR MCARE

Other names 1

  • Tania Aziz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20100604000652 NV Practitioner - Internal Medicine 6002829603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
61.15 of 100Reported as group
Quality
36.67
Improvement activities
40
Cost
61.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01011641AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada Acute Medical Services-Scherr 1 PC Hospitalist CurrentSince Apr 9, 2019 Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Nov 27, 2012 Accepting new patients
Platinum Hospitalists LLP Internal Medicine CurrentSince Nov 27, 2012 Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

1250 S Valley View Blvd
Las Vegas, NV 89102
Phone (702) 259-3570

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

8280 W Warm Springs Rd
Las Vegas, NV 89113
Phone (702) 458-5099

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Organizations & group practices 4

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1326019043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7988 BAYSHORE CT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308367",
            "telephone_number": "812-962-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY STREET",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477470001",
            "telephone_number": "812-450-7338",
            "fax_number": "812-450-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "TANIA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01011641A",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01061641A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "13339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326019043",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200815550",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64114895",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - DEACONESS GATEWAY",
            "identifier": "000000391348",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - DEACONESS MARY ST",
            "identifier": "000000391354",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "P00318221",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "AZIZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.