NPIMap

Individual provider Active NPI

Hooman Khabiri, MD

  • Vascular & Interventional Radiology Physician
  • Columbus, OH
National Provider Identifier
1508817990
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
D0102552 Issued in MD
Practice address
410 W 10TH Ave
Columbus, OH 43210-1240
Phone
(614) 293-8315
NPI assigned
May 12, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X D0102552 MD Primary
Vascular & Interventional Radiology Physician 2085R0204X 0101288045 VA
Vascular & Interventional Radiology Physician 2085R0204X 35063096 OH

Addresses

Primary practice location

410 W 10TH Ave
Columbus, OH 43210-1240

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8315

Other practice location 1

7625 Maple Lawn Blvd
Fulton, MD 20759-2565
Phone (240) 896-0750

Other practice location 2

400 Matthew St Ste 302
Marietta, OH 45750-1656
Phone (740) 568-5207

Other practice location 3

900 23rd St NW
Washington, DC 20037-2342
Phone (202) 715-5154

Other practice location 4

14540 John Marshall Hwy Ste 104
Gainesville, VA 20155-1693
Phone (703) 712-6062

Other identifiers 1

IdentifierTypeStateIssuer
0938874MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hooman.khabiri@mmhs.medicity

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, DC, MD, ND, VA, CT6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20050928000656 OH Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5294760369 Reassigns benefits to 4 organizations
I20240726001802 DC Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5294760369 Reassigns benefits to 4 organizations
I20250128000219 MD Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5294760369 Reassigns benefits to 6 organizations
I20251215003817 ND Practitioner - Interventional Radiology 5294760369 Reassigns benefits to 1 organization
I20260113003813 VA Practitioner - Interventional Radiology 5294760369 Reassigns benefits to 1 organization
I20260414003968 CT Practitioner - Diagnostic Radiology 5294760369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Radiology LLCGroup PAC ID 8921031675, 180 clinicians
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians
Choice Pain and Rehabilitation Center LLCGroup PAC ID 1850534645, 13 clinicians
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

2245 John Marshall Dr
Arlington, VA 22205-3400
Phone (614) 293-8315

395 W 12TH Ave
RM 460
Columbus, OH 43210-1267
Phone (614) 293-8315

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

6325 Emerald Pkwy
Suite 2B
Dublin, OH 43016-3241
Phone (614) 504-0741

7404 Executive PL
Suite 503
Lanham, MD 20706-6238
Phone (240) 786-1001

7625 Maple Lawn Blvd
Suite 1
Fulton, MD 20759-2565
Phone (410) 531-7557

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5297

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063096OHMDVascular & Interventional Radiology Physician
0101288045VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Pain & Rehabilitation Center CurrentSince Jan 16, 2025 Accepting new patients
St Alexius Medical Center CurrentSince Dec 23, 2025 Accepting new patients
St. Alexius Medical Center CurrentSince Dec 23, 2025 Accepting new patients
Active Life Health of Columbus LLC CurrentSince Oct 1, 2023 Accepting new patients
Active Life Health of Cincinnati LLC CurrentSince Jun 5, 2024 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Mar 27, 2025 Accepting new patients
Elkridge ASC LLC CurrentSince Jan 5, 2026 Accepting new patients
Choice Pain & Rehabilitation Center, LLC CurrentSince Jan 16, 2025 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Dec 22, 2025 Accepting new patients
Radiology Associates of Canton, Inc Vascular & Interventional Radiology CurrentSince Mar 20, 2023 Accepting new patients
Active Life Health of Columbus LLC CurrentSince Oct 1, 2023 Accepting new patients
Maryland Center for Arthritis and Regenerative Care LLC CurrentSince Jan 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
NSPC Surgery Center of Maryland LLC Past Accepting new patients
University Radiologists Inc Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1005 Northpoint Blvd
Ste 722
Baltimore, MD 21224
Phone (240) 534-3289

300 Frederick Rd
Ste 102
Catonsville, MD 21228
Phone (410) 650-9804

6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019

8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (202) 689-4398

7404 Executive Pl
Ste 503
Lanham, MD 20706
Phone (240) 641-1052

18540 Office Park Dr
Montgomry Vlg, MD 20886
Phone (301) 330-3900

2702 Back Acre Cir
Ste 290B
Mount Airy, MD 21771
Phone (301) 760-3317

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

8251 Pine Rd
Ste 210
Cincinnati, OH 45236
Phone (513) 419-4158

6325 Emerald Pkwy
Ste 2B
Dublin, OH 43016
Phone (614) 333-5366

6325 Emerald Pkwy
Unit 1A
Dublin, OH 43016
Phone (614) 504-0741

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

14540 John Marshall Hwy
Ste 104
Gainesville, VA 20155
Phone (703) 712-6062

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: hkhabiri4448929@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 9

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1508817990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8315",
            "fax_number": "614-293-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-8315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7625 Maple Lawn Blvd",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "MD",
            "postal_code": "207592565",
            "country_code": "US",
            "telephone_number": "240-896-0750",
            "fax_number": "240-896-0820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Matthew St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501656",
            "country_code": "US",
            "telephone_number": "740-568-5207",
            "fax_number": "740-568-5297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 23rd St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200372342",
            "country_code": "US",
            "telephone_number": "202-715-5154",
            "fax_number": "202-715-4901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14540 John Marshall Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201551693",
            "country_code": "US",
            "telephone_number": "703-712-6062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHABIRI",
        "first_name": "HOOMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MD",
            "license": "D0102552",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101288045",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35063096",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0938874",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hooman.khabiri@mmhs.medicity",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 302",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.