NPIMap

Individual provider Active NPI

Aliya Usman Khan, MD

  • Rheumatology Physician
  • Dayton, OH
National Provider Identifier
1487638870
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35063979 Issued in OH
Practice address
3075 Governors Place Blvd
Suite 110
Dayton, OH 45409-1332
Phone
(937) 296-0015
Fax
(937) 296-0074
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Internal Medicine) Physician 207RI0001X 35063979 OH
Rheumatology Physician 207RR0500X 35063979 OH Primary

Addresses

Primary practice location

3075 Governors Place Blvd
Suite 110
Dayton, OH 45409-1332

Mailing address

3075 Governors Place Blvd
Suite 110
Dayton, OH 45409-1332
Phone (937) 296-0015

Other identifiers 1

IdentifierTypeStateIssuer
2037727MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040928000129 OH Practitioner - RheumatologyPractitioner - Allergy/Immunology 3678542628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Allergy/Immunology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Arthritis and Allergy Center LLCGroup PAC ID 3971541368, 9 clinicians

Practice addresses (Care Compare)

3075 Governors Place Blvd
Suite 110
Dayton, OH 45409-1332
Phone (937) 296-0015

Hospital & facility affiliations

  • Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Kettering Health Miamisburg Hospital, Miamisburg, OH, CCN 360239
  • Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

Merit-based Incentive Payment System (MIPS)

Final score
94.35 of 100Reported as group
Quality
98.51
Improvement activities
40
Cost
79.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Arthritis and Allergy Center LLC Clinical & Laboratory Immunology CurrentSince May 1, 2002 Accepting new patients
Male Reproductive Medicine of Southwest Ohio Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3422
Columbus, OH 43260

3075 Governors Place Blvd
Ste 110
Kettering, OH 45409
Phone (937) 296-0015

Interoperability endpoints

  • Direct secure messaging: aliya.khan@daac.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1487638870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 GOVERNORS PLACE BLVD",
            "address_2": "SUITE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091332",
            "telephone_number": "937-296-0015",
            "fax_number": "937-296-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 GOVERNORS PLACE BLVD",
            "address_2": "SUITE 110",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091332",
            "telephone_number": "937-296-0015",
            "fax_number": "937-296-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALIYA",
        "middle_name": "USMAN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": "OH",
            "license": "35063979",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35063979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2037727",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.