Active NPI
Faisal Khatri, M.D.
- Internal Medicine Physician
- Mason, OH
National Provider Identifier
1588066922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.134977
- Practice address
- 4859 Nixon Park Dr Ste a
Mason, OH 45040-8106 - Phone
- (513) 492-5940
- Fax
- (513) 492-5941
- NPI assigned
- Sep 17, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R3242 | KY | |
| Family Medicine Physician | 207Q00000X | 01077614A | IN | |
| Internal Medicine Physician | 207R00000X | 35.134977 | OH | Primary |
Addresses
Primary practice location
4859 Nixon Park Dr Ste a
Mason, OH 45040-8106
Mailing address
3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3186
Other practice location 1
5 Matchett Dr
Pierceton, IN 46562-9073
Phone (574) 594-2136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Family Medicine | Current | Accepting new patients |
Locations
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
4859 Nixon Park Dr
Ste A
Mason, OH 45040
Phone (513) 492-5940
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Moraine, OH
- NPI 1659504785
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1588066922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 KETTERING BLVD BLDG B3",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391924",
"telephone_number": "937-991-3186",
"fax_number": "937-223-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4859 NIXON PARK DR STE A",
"city": "MASON",
"state": "OH",
"postal_code": "450408106",
"telephone_number": "513-492-5940",
"fax_number": "513-492-5941"
}
],
"practiceLocations": [
{
"address_1": "5 Matchett Dr",
"address_purpose": "LOCATION",
"city": "Pierceton",
"state": "IN",
"postal_code": "465629073",
"country_code": "US",
"telephone_number": "574-594-2136",
"fax_number": "574-594-2281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHATRI",
"first_name": "FAISAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-17",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "R3242",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01077614A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.134977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.