Individual provider Active NPI

Mohamed Khayata, M.D.

  • Cardiovascular Disease Physician
  • Cleveland, OH
National Provider Identifier
1609294602
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
130258 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-3578
Phone
(164) 442-2002
NPI assigned
Apr 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME149760 FL
Internal Medicine Physician 207R00000X 130258 OH
Student in an Organized Health Care Education/Training Program 390200000X OH
Cardiovascular Disease Physician 207RC0000X 130258 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-3578

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (164) 442-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170606001393 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - HospitalistPractitioner - Internal Medicine 5294058418 Reassigns benefits to 6 organizations
I20211215002356 FL Practitioner - Internal Medicine 5294058418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

721 E Milltown Rd
Wooster, OH 44691-1255
Phone (330) 287-4500

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-5433

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149760FLMDInternal Medicine Physician
130258OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Dec 13, 2021 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince May 24, 2017 Accepting new patients
Tampa General Medical Group Inc Cardiovascular Disease CurrentSince Jul 20, 2022 Accepting new patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Tampa General Hospital Current Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Jul 22, 2017 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Tampa General Medical Group Inc Cardiovascular Disease CurrentSince Jul 20, 2022 Accepting new patients
Wooster Clinic, LLC CurrentSince Jan 1, 2024 Accepting new patients
Baycare Medical Group, Inc. Internal Medicine CurrentSince Dec 13, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2018 Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

13670 Walsingham Rd
Largo, FL 33774
Phone (727) 593-9848

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

5 Tampa General Cir
Ste 300
Tampa, FL 33606
Phone (813) 251-0793

5 Tampa General Cir
Tampa, FL 33606
Phone (813) 251-0793

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mkhayata485509@direct.ccf.org
  • Direct secure messaging: mkhayata170650@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 12

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 5

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1609294602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "164-442-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441953578",
            "telephone_number": "164-442-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAYATA",
        "first_name": "MOHAMED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME149760",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "130258",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "130258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.