Bahaeddin A. El Khatib, M.D.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

35.141623 Issued in OH

Practice address

4676 Douglas Cir NW
Canton, OH 44718-3619

Phone

(330) 494-1116

NPI assigned

Apr 11, 2017

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

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 2

Specialty

Ophthalmology

Education

Michigan State University College of Human Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vitreo-Retinal Consultants, Inc.Group PAC ID 5890682835, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score

85.48 of 100Reported as group

Quality

77.53

Promoting interoperability

96

Improvement activities

40

Cost

77.39

Merit-based Incentive Payment System (MIPS)

Final score

93 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.65

Merit-based Incentive Payment System (MIPS)

Final score

98.5 of 100Reported as group

Quality

100

Promoting interoperability

95

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: baha.elkhatib.p1@direct.vrc.nextgenshare.com
• Direct secure messaging: belkhatib@neoes.intellechartdirect.net
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Vitreo-Retinal Consultants, Inc.

  • Ophthalmology Physician
  • Canton, OH
  • NPI 1750347662

  PA

  Medicare reassignment Care Compare group NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Optometrist
  • Kent, OH
  • NPI 1932208733

  Ophthalmology

  Medicare reassignment NPD
• Wooster Ophthalmologists, Inc.

  dba Wooster Eye Center; Wooster Optical

  • Ophthalmology Physician
  • Wooster, OH
  • NPI 1780629337
  Medicare reassignment NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1093316671
  NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Warren, OH
  • NPI 1881956860
  NPD
• Wooster Ophthalmologists, Inc.

  dba Eye Surgery Center of Wooster

  • Ambulatory Surgical Clinic/Center
  • Wooster, OH
  • NPI 1265462881
  NPD

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

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1417481946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 DOUGLAS CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183619",
            "telephone_number": "330-494-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 DOUGLAS CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183619",
            "telephone_number": "330-494-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Green Street",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "45750",
            "country_code": "US",
            "telephone_number": "740-374-5575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8140 Norton Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606017",
            "country_code": "US",
            "telephone_number": "440-918-7417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Manor Hill Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444061538",
            "country_code": "US",
            "telephone_number": "330-533-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3135 Highland Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "PA",
            "postal_code": "161484511",
            "country_code": "US",
            "telephone_number": "740-346-4180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "658 Boulevard St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "OH",
            "postal_code": "446222027",
            "country_code": "US",
            "telephone_number": "330-494-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL KHATIB",
        "first_name": "BAHAEDDIN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35141623",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD479866",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35.141623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442242",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eisenbrei Plaza Optical
• Mark Eisenbrei
• Tammy Lynn Eisentrout, D.O.
• Betsy D Ekey, PA-C
• Ahmed A El Ghamry Sabe, MD
• Gabriel Y El-Hage Boutrous, PHD
• Madison Elavsky
• Greggory Nicholas Elefterin, DDS
• Elevate Chiropractic and Wellness, LLC
• John Elgersma, MD

• Retina Specialist (Ophthalmology) Physician in Canton, OH
• Providers in Canton, OH by specialty
• Retina Specialist (Ophthalmology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.

Verify at the official NPI Registry.