Individual provider Active NPI

Jamil Khan, MD

  • Emergency Medicine Physician
  • Lima, OH
National Provider Identifier
1679079198
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01087223A Issued in IN
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 227-3361
NPI assigned
Apr 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.140013 OH
Emergency Medicine Physician 207P00000X 01087223A IN Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

3000 Arlington Ave # 1088
Toledo, OH 43614-2595
Phone (419) 383-6369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220307000573 IN Practitioner - Emergency Medicine 4587070438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Wisconsin, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Ascension St Vincent Williamsport Hospital, Williamsport, IN, CCN 151307

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01087223AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Feb 15, 2022 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 15, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 29)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331

1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800

1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1331 S A St
Elwood, IN 46036
Phone (765) 552-4000

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

801 N State St
Greenfield, IN 46140
Phone (317) 462-5544

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200

2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

Organizations & group practices 4

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 2

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1679079198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE # 1088",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-6369",
            "fax_number": "419-383-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-227-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "JAMIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.140013",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01087223A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.