Active NPI
Adib Najib Khouzami, MD
- Maternal & Fetal Medicine Physician
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD065661L
- Practice address
- 1111 Franklin St
Ste 300
Johnstown, PA 15905-4330 - Phone
- (814) 534-9230
- Fax
- (814) 534-9465
- NPI assigned
- Jun 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | MD065661L | PA | Primary |
Addresses
Primary practice location
1111 Franklin St
Ste 300
Johnstown, PA 15905-4330
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001696591 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1086 Franklin St
Johnstown, PA 15905-4305
1086 Franklin St E
Johnstown, PA 15905-4305
Phone (814) 534-9104
1086 Franklin St M
Johnstown, PA 15905-4305
Phone (814) 534-9194
1111 Franklin St
Johnstown, PA 15905-4341
Hospital & facility affiliations
- Conemaugh Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD065661L | PA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| DLP Conemaugh Memorial Medical Center LLC | Past | Accepting new patients | |
| Conemaugh Health Initiatives | Past | Accepting new patients |
Locations
236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1111 Franklin St
Ste 300
Johnstown, PA 15905
Phone (814) 534-9203
1111 Franklin St
Ste 230
Johnstown, PA 15905
Phone (814) 262-7980
1450 Scalp Ave
Ste 303
Johnstown, PA 15904
Phone (814) 262-7470
1111 Franklin St
Ste 110
Johnstown, PA 15905
Phone (814) 534-9230
Interoperability endpoints
- akhouzami9626@direct.conemaugh.org
Organizations & group practices 5
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
- Cresson, PA
- NPI 1932515905
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
-
- Plastic Surgery Physician
- Johnstown, PA
- NPI 1073516720
-
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1710982178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-410-8300",
"fax_number": "814-410-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 FRANKLIN ST",
"address_2": "STE 300",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054330",
"telephone_number": "814-534-9230",
"fax_number": "814-534-9465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOUZAMI",
"first_name": "ADIB",
"middle_name": "NAJIB",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "PA",
"license": "MD065661L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001696591",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.