Tamim S Khaddash, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD467186 Issued in PA

Practice address

3400 Spruce St
Philadelphia, PA 19104-4238

Phone

(215) 662-3000

Fax

(215) 662-7011

NPI assigned

Apr 16, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 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

Specialty

Diagnostic Radiology

Education

Temple University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians

Avant Medical Group LLCGroup PAC ID 5395266985, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geisinger Medical Center Hospital, Danville, PA, CCN 390006
• Geisinger-Lewistown Hospital Hospital, Lewistown, PA, CCN 390048
• Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270
• Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
• Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 57)

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment Care Compare group NPD
• Avant Medical Group LLC

  • Vascular & Interventional Radiology Physician
  • Paramus, NJ
  • NPI 1467264184
  Medicare reassignment Care Compare group NPD
• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Lock Haven, PA
  • NPI 1144876137
  Medicare reassignment Care Compare group
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Scranton, PA
  • NPI 1033511621
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• University of Penn-Medical Group

  • Reproductive Endocrinology Physician
  • Philadelphia, PA
  • NPI 1245628353
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Geisinger Clinic

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1588614358
  NPD (past)
• Geisinger-HM Joint Venture, LLC

  • Family Medicine Physician
  • Williamsport, PA
  • NPI 1073075909
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Medical Center

  • Clinic/Center
  • Scranton, PA
  • NPI 1285032128

  Hospital

  Care Compare affiliation
• Community Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Scranton, PA
  • NPI 1306439856

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1366444507
  Care Compare affiliation
• Community Medical Center

  • Radiology Clinic/Center
  • Scranton, PA
  • NPI 1770960130

  Hospital

  Care Compare affiliation
• Community Medical Center

  • General Acute Care Hospital
  • Scranton, PA
  • NPI 1972652063
  Care Compare affiliation
• Geisinger Bloomsburg Hospital

  • General Acute Care Hospital
  • Bloomsburg, PA
  • NPI 1629688429
  Care Compare affiliation
• Geisinger Bloomsburg Hospital

  • General Acute Care Hospital
  • Bloomsburg, PA
  • NPI 1821198755
  Care Compare affiliation
• Geisinger Lewistown Hospital

  • Clinic/Center
  • Lewistown, PA
  • NPI 1265207187

  Hospital

  Care Compare affiliation
• Geisinger Lewistown Hospital

  • General Acute Care Hospital
  • Lewistown, PA
  • NPI 1497338313
  Care Compare affiliation
• Geisinger Lewistown Hospital

  • Radiology Clinic/Center
  • Mifflintown, PA
  • NPI 1609263946

  Hospital

  Care Compare affiliation
• Geisinger Lewistown Hospital

  • Radiology Clinic/Center
  • Lewistown, PA
  • NPI 1689061921

  Hospital

  Care Compare affiliation
• Geisinger Lewistown Hospital

  • Mobile Radiology Clinic/Center
  • Lewistown, PA
  • NPI 1750778981

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1689017964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADDASH",
        "first_name": "TAMIM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD467186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Therapy LLC
• KFC & Associates
• Harutyun Khachatryan, PHARMD
• Arthur Khachaturyan, CRNP
• Magdalena Khadar, SLP
• Hisham Ahmed Khadr, MD
• Baljeet Kaur Khaira, DMD
• Ashok B Khairnar, MS
• Omar Aakef Khaleel, M.D.
• Nahla Khalek, MD

• Diagnostic Radiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.