Active NPI
Amer Ahmad Alkhatib, MD
- Gastroenterology Physician
- Tulsa, OK
National Provider Identifier
1487740296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 29020
- Practice address
- 10109 E 79TH St
Cancer Treatment Centers of America
Tulsa, OK 74133-4564 - Phone
- (918) 286-5000
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00046051 | WA | |
| Gastroenterology Physician | 207RG0100X | 44370 | AZ | |
| Gastroenterology Physician | 207RG0100X | 29020 | OK | Primary |
Addresses
Primary practice location
10109 E 79TH St
Cancer Treatment Centers of America
Tulsa, OK 74133-4564
Mailing address
10109 E 79TH St
Cancer Treatment Centers of America
Tulsa, OK 74133-4564
Phone (918) 286-5000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 615484 | Medicaid | AZ | |
| P00395875 | Other | WA | RAILROAD MEDICARE |
| 8470312 | Medicaid | WA | |
| G000362000 | Other | WA | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44370 | AZ | MD | Gastroenterology Physician |
| 29020 | OK | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1487740296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10109 E 79TH ST",
"address_2": "CANCER TREATMENT CENTERS OF AMERICA",
"city": "TULSA",
"state": "OK",
"postal_code": "741334564",
"telephone_number": "918-286-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10109 E 79TH ST",
"address_2": "CANCER TREATMENT CENTERS OF AMERICA",
"city": "TULSA",
"state": "OK",
"postal_code": "741334564",
"telephone_number": "918-286-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKHATIB",
"first_name": "AMER",
"middle_name": "AHMAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00046051",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AZ",
"license": "44370",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OK",
"license": "29020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "615484",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00395875",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8470312",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "G000362000",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
- Lamiaa Hassan Ali, MD
- Rabia Ali, MD
- Rachelle Lynn Ali, PARENT ADVOCATE
- Lourdes Sofia Aliaga
- Qaidar Alizai
- All Saints Home Medical LLC (All Saints Cancer Pharmacy)
- All Saints Home Medical LLC
- All Saints Home Medical LLC
- All Saints Home Medical LLC (All Saints Home Medical)
- All Saints Home Medical LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.