NPIMap

Individual provider Active NPI

Ahmed Khattab, MD

  • Hematology & Oncology Physician
  • Orchard Park, NY
National Provider Identifier
1609309749
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD475496 Issued in PA
Practice address
3041 Orchard Park Rd Ste C
Orchard Park, NY 14127-1238
Phone
(716) 674-3104
Fax
(716) 674-0666
NPI assigned
Apr 5, 2017
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 MD475496 PA
Internal Medicine Physician 207R00000X 322330 NY
Hematology & Oncology Physician 207RH0003X 322330 NY
Hematology & Oncology Physician 207RH0003X MD475496 PA Primary

Addresses

Primary practice location

3041 Orchard Park Rd Ste C
Orchard Park, NY 14127-1238

Mailing address

3041 Orchard Park Rd
Ste C
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Other practice location 1

Elm and Carlton St
Buffalo, NY 14263
Phone (716) 845-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211115000009 PA Practitioner - Internal Medicine 5395001044 Reassigns benefits to 1 organization
I20230615002259 NY Practitioner - Hematology/OncologyPractitioner - Internal Medicine 5395001044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rpci Oncology, PCGroup PAC ID 3870731029, 62 clinicians
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

1450 Scalp Ave
Suite 2100
Johnstown, PA 15904-3374
Phone (814) 269-5211

3041 Orchard Park Rd
Suite C
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322330NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saif Soniwala,M.D.,PC Hematology & Oncology Current Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Oct 14, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Oct 14, 2024 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jan 1, 2025 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jan 1, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Rpci Oncology PC Internal Medicine CurrentSince Aug 7, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: akhattab52177@direct.conemaugh.org

Organizations & group practices 8

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.

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1609309749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD",
            "address_2": "STE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271238",
            "telephone_number": "716-674-3104",
            "fax_number": "716-674-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 ORCHARD PARK RD STE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271238",
            "telephone_number": "716-674-3104",
            "fax_number": "716-674-0666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Elm and Carlton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "14263",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATTAB",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2025-02-05",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD475496",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "322330",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "322330",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD475496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.