Active NPI
Parvez B Khambatta, MD
- Gastroenterology Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35.035566
- Practice address
- 2475 E 22ND St
Suite 120
Cleveland, OH 44115-3221 - Phone
- (216) 431-1500
- Fax
- (216) 431-7701
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35.035566 | OH | Primary |
Addresses
Primary practice location
2475 E 22ND St
Suite 120
Cleveland, OH 44115-3221
Mailing address
PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 431-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0216662 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pkhambatta32210@direct.ccf.org | Outreach Professional Services Inc |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Outreach Professional Services, Inc | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Outreach Professional Services Inc | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
11100 Euclid Ave
Cleveland Heights, OH 44106
10 Severance Cir
Cleveland Heights, OH 44118
Phone (216) 297-2600
Interoperability endpoints
- pkhambatta262626@direct.metrohealth.org
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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1134119829
-
- Durable Medical Equipment & Medical Supplies
- Cleveland, OH
- NPI 1104371640
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1326126368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932127",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930008",
"telephone_number": "216-431-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 E 22ND ST",
"address_2": "SUITE 120",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153221",
"telephone_number": "216-431-1500",
"fax_number": "216-431-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMBATTA",
"first_name": "PARVEZ",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35.035566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0216662",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkhambatta32210@direct.ccf.org",
"affiliation": "Y",
"affiliationName": "Outreach Professional Services Inc",
"address_1": "2475 E 22nd St",
"address_2": "Suite 120",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441153221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.