NPIMap

Individual provider Active NPI

Murad Ma'an Hanna Kheetan, MD

  • Nephrology Physician
  • Huntington, WV
National Provider Identifier
1326453952
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
28736 Issued in WV
Practice address
1690 Medical Center Dr.
Huntington, WV 25701-3662
Phone
(304) 526-2532
Fax
(304) 526-4542
NPI assigned
Jun 23, 2014
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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 28736 WV
Nephrology Physician 207RN0300X 28736 WV Primary

Addresses

Primary practice location

1690 Medical Center Dr.
Huntington, WV 25701-3662

Mailing address

1249 15TH St
Suite 2000
Huntington, WV 25701-3662
Phone (304) 691-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address murad.kheetan@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022003944 WV Practitioner - NephrologyPractitioner - Internal Medicine 2365661907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1690 Medical Ctr Dr
Huntington, WV 25701-3656
Phone (304) 526-2532

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28736WVMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Feb 13, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Feb 13, 2024 Accepting new patients
University Physicians & Surgeons, Inc Internal Medicine CurrentSince Aug 5, 2019 Accepting new patients

Locations

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

1249 15th St
Ste 2000
Huntington, WV 25701
Phone (304) 691-1086

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Interoperability endpoints

  • Direct secure messaging: murad.kheetan@marshall.cernerdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1326453952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 15TH ST",
            "address_2": "SUITE 2000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013662",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 MEDICAL CENTER DR.",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013662",
            "telephone_number": "304-526-2532",
            "fax_number": "304-526-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEETAN",
        "first_name": "MURAD",
        "middle_name": "MA'AN HANNA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "28736",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WV",
            "license": "28736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "murad.kheetan@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1690 Medical Center Dr.",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.