Active NPI
Khadija L Ahmed, M.D.
- Internal Medicine Physician
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-094335
- Practice address
- 2100 Emmanuel Way Ste B
Springfield, OH 45502-7218 - Phone
- (937) 504-0120
- Fax
- (937) 521-1092
- NPI assigned
- Mar 20, 2007
- Last updated
- Dec 29, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-094335 | OH | Primary |
Addresses
Primary practice location
2100 Emmanuel Way Ste B
Springfield, OH 45502-7218
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other names 1
- Khadija L Faridi
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kahmed550866@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
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
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
2300 N Limestone St
Suite 120
Springfield, OH 45503-1102
Phone (937) 504-8390
Hospital & facility affiliations
- Community Mercy Home Care, LLC
- Soin Medical Center
- Springfield Regional Medical Center
- Ohio Valley Surgical Hospital
- Kettering Health Dayton
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians, Inc. | Current | Accepting new patients | |
| Alliance Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Queens Long Island Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 762-1306
2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920
2100 Emmanuel Way
Ste B
Springfield, OH 45502
Phone (937) 398-0020
2300 N Limestone St
Ste 120
Springfield, OH 45503
Phone (866) 224-9472
2300 N Limestone St
Ste 230
Springfield, OH 45503
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
386 N Detroit St
Xenia, OH 45385
Phone (937) 352-2860
Interoperability endpoints
- kahmed550866@direct.ketteringhealth.org
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.
-
dba Kettering Health Medical Group
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
Internal Medicine
-
dba Sleep Disorders Centers-Kettering Health Network
- Sleep Medicine (Psychiatry & Neurology) Physician
- Beavercreek, OH
- NPI 1306235114
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba AdvantageCare Physicians
- Internal Medicine Physician
- New York, NY
- NPI 1891732038
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Soin Medical Center
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
dba Mercy Health - Springfield Regional Medical Center
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
dba Mercy Health - Lab Services, Springfield
- Clinical Medical Laboratory
- Springfield, OH
- NPI 1477217297
Hospital
-
- Home Health Agency
- Springfield, OH
- NPI 1790779221
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1366567265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310",
"fax_number": "937-522-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 EMMANUEL WAY STE B",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455027218",
"telephone_number": "937-504-0120",
"fax_number": "937-521-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "KHADIJA",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-094335",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kahmed550866@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "2100 Emmanuel Way Ste B",
"city": "Springfield",
"state": "OH",
"country_code": "US",
"postal_code": "455027218",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "2100 Emmanuel Way Ste B",
"city": "Springfield",
"state": "OH",
"country_code": "US",
"postal_code": "455027218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KHADIJA",
"last_name": "FARIDI",
"middle_name": "L",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.