Mark H Khalili, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35079468 Issued in OH

Practice address

835 Sweitzer St
Greenville, OH 45331-1007

Phone

(937) 548-1141

NPI assigned

Jun 23, 2006

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

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Greenville Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Greenville, OH
  • NPI 1427146638
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326074386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311007",
            "telephone_number": "937-548-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SWEITZER ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311007",
            "telephone_number": "937-548-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35079468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC CCC",
            "identifier": "3903304",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC ER",
            "identifier": "3920481",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ER",
            "identifier": "000000342339",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "1995899500",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CCC",
            "identifier": "000000342356",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2300790",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulette Kennedy
• Robert Kensinger, M.D.
• Amberdawn E Kenworthy-Byers
• Natasha Gail Kenworthy
• Keystone Rehabilitation Systems Inc (NovaCare Rehabilitation)
• Alexis Paige Kincaid
• Alaine C. Kirby, APRN
• Sherrie Kirkpatrick
• Betsy Klosterman, MOT, OTR/L
• Kmy Audiology (Beltone Hearing & Audiology)

• Family Medicine Physician in Greenville, OH
• Providers in Greenville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.