Individual provider Active NPI

Khurram Kamran, MD

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1558458331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35088351 Issued in OH
Practice address
2661 Salem Ave. Ste 221
Good Samaritan Hospital Davue Building
Dayton, OH 45406
Phone
(937) 279-8648
Fax
(937) 567-4186
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35088351 OH Primary

Addresses

Primary practice location

2661 Salem Ave. Ste 221
Good Samaritan Hospital Davue Building
Dayton, OH 45406

Mailing address

2661 Salem Ave. Ste 221
Good Samaritan Hospital Davue Building
Dayton, OH 45406
Phone (937) 279-8648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260519002947 GA Practitioner - Internal Medicine 3971403643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1736

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35088351OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc Past Accepting new patients
Sumter Regional Medical Group, PC Past Accepting new patients
Hospitalist Medicine Physicians of Franklin County, LTD Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Butler County, LTD Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Charleston, PLLC Internal Medicine Past Accepting new patients
Americus & Sumter County Hospital Authority Past Accepting new patients
Hospitalist Medicine Physicians of Ashtabula County, LTD Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Kentucky, PLLC Internal Medicine Past Accepting new patients

Organizations & group practices 9

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558458331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 SALEM AVE. STE 221",
            "address_2": "GOOD SAMARITAN HOSPITAL DAVUE BUILDING",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45406",
            "telephone_number": "937-279-8648",
            "fax_number": "937-567-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 SALEM AVE. STE 221",
            "address_2": "GOOD SAMARITAN HOSPITAL DAVUE BUILDING",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45406",
            "telephone_number": "937-279-8648",
            "fax_number": "937-567-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRAN",
        "first_name": "KHURRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35088351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.