Individual provider Active NPI

Sami Muhammad Khan, DO

  • Family Medicine Physician
  • Zanesville, OH
National Provider Identifier
1467816884
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013290 Issued in OH
Practice address
2800 Maple Ave
Zanesville, OH 43701-1716
Phone
(772) 574-0453
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.013290 OH Primary

Addresses

Primary practice location

2800 Maple Ave
Zanesville, OH 43701-1716

Mailing address

2800 Maple Ave
Zanesville, OH 43701-1716
Phone (740) 453-7725

Other practice location 1

1155 E Main St
Lancaster, OH 43130-4056
Phone (740) 689-6758

Other practice location 2

211 Northparke Dr
Springfield, OH 45503
Phone (937) 390-1700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808004229 OH Practitioner - Family Practice 8022303817 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Jan 15, 2024 Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Feb 5, 2024 Accepting new patients
Altercare Newark North, Inc. Past Accepting new patients
Altercare Newark South, Inc. Past Accepting new patients

Locations

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

Interoperability endpoints

  • Direct secure messaging: ms_skhan390@landmarkhealth-direct.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1467816884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011716",
            "telephone_number": "740-453-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011716",
            "telephone_number": "772-574-0453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431304056",
            "country_code": "US",
            "telephone_number": "740-689-6758",
            "fax_number": "740-689-6759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Northparke Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "45503",
            "country_code": "US",
            "telephone_number": "937-390-1700",
            "fax_number": "937-390-2471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMI",
        "middle_name": "MUHAMMAD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.