NPIMap

Individual provider Active NPI

Maram Khabbaz, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1477728186
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35096781 Issued in OH
Practice address
3645 Stonecreek Blvd
Cincinnati, OH 45251-1468
Phone
(513) 687-0500
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35096781 OH Primary
Family Medicine Physician 207Q00000X 44442 KY

Addresses

Primary practice location

3645 Stonecreek Blvd
Cincinnati, OH 45251-1468

Mailing address

3645 Stonecreek Blvd
Cincinnati, OH 45251-1468
Phone (513) 687-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120718000589 KY Practitioner - Family PracticePractitioner - Geriatric Medicine 2365608403 Reassigns benefits to 1 organization
I20120719000133 OH Practitioner - Family PracticePractitioner - Geriatric Medicine 2365608403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Hospital & facility affiliations

  • Queen City Hospice Hospice, Mason, OH, CCN 361664
  • Hospice of Cincinnati, Inc Hospice, Cincinnati, OH, CCN 361531
  • Hospice Care of Middletown Inc Hospice, Middletown, OH, CCN 361626
  • Harrison Trail Health Campus Nursing home, Harrison, OH, CCN 366483
  • Liberty Station Health Campus Nursing home, Liberty TWP, OH, CCN 366498
  • Doverwood Village Nursing home, Hamilton, OH, CCN 366040
  • Gateway Springs Health Campus Nursing home, Hamilton, OH, CCN 366482
  • Birchwood Care Center Nursing home, Hamilton, OH, CCN 366159

Merit-based Incentive Payment System (MIPS)

Final score
57.66 of 100Reported as group
Quality
47.87
Promoting interoperability
0
Improvement activities
40
Cost
70.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44442KYMDFamily Medicine Physician
35096781OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Inpatient Group, LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Trilogy Healthcare of Butler, LLC Past Accepting new patients
Trilogy Healthcare of Hamilton III, LLC Past Accepting new patients
Hillandale Nursing Care, LTD. Past Accepting new patients
Trilogy Healthcare of Liberty Township, LLC Past Accepting new patients
Majestic Care of Cedar Village LLC Past Accepting new patients

Locations

300 Plaza Dr
Cold Spring, KY 41076
Phone (859) 341-2044

4250 Glenn Ave
Covington, KY 41015
Phone (859) 371-5731

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1477728186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511468",
            "telephone_number": "513-687-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511468",
            "telephone_number": "513-687-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHABBAZ",
        "first_name": "MARAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35096781",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "44442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.