NPIMap

Individual provider Active NPI

Khattar Aizooky, M.D.

  • Internal Medicine Physician
  • Presto, PA
National Provider Identifier
1750460614
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD069313L Issued in PA
Practice address
1 Forsythe Rd Ste 2
Presto, PA 15142-1170
Phone
(412) 276-3050
Fax
(412) 276-5393
NPI assigned
Nov 3, 2006
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD069313L PA Primary

Addresses

Primary practice location

1 Forsythe Rd Ste 2
Presto, PA 15142-1170

Mailing address

701 Technology Dr Ste 150
Canonsburg, PA 15317-9531
Phone (412) 531-2902

Other practice location 1

1145 Bower Hill Rd Ste 204
Pittsburgh, PA 15243-1347
Phone (412) 276-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040206000648 PA Practitioner - Internal Medicine 1951294495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2375 Greentree Rd
Carnegie, PA 15106-4203
Phone (412) 276-1560

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince May 1, 2013 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2011 Accepting new patients
Preferred Primary Care Physicians, Inc. Internal Medicine CurrentSince May 1, 2013 Accepting new patients
University of Pittsburgh Physicians Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

701 Technology Dr
Ste 150
Canonsburg, PA 15317
Phone (412) 531-2902

2375 Greentree Rd
Carnegie, PA 15106
Phone (412) 276-1560

1050 Bower Hill Rd
Ste 202
Pittsburgh, PA 15243
Phone (412) 572-6122

1145 Bower Hill Rd
Ste 204
Pittsburgh, PA 15243
Phone (412) 273-3050

1910 Cochran Rd
Pittsburgh, PA 15220
Phone (412) 343-7855

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

1 Forsythe Rd
Ste 2
Presto, PA 15142
Phone (412) 276-3050

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Interoperability endpoints

  • Direct secure messaging: khattaraizookymd@preferred.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1750460614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TECHNOLOGY DR STE 150",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179531",
            "telephone_number": "412-531-2902",
            "fax_number": "412-531-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORSYTHE RD STE 2",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421170",
            "telephone_number": "412-276-3050",
            "fax_number": "412-276-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1145 Bower Hill Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431347",
            "country_code": "US",
            "telephone_number": "412-276-3050",
            "fax_number": "412-276-5393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AIZOOKY",
        "first_name": "KHATTAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD069313L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presto, PA

Sources for this page

Verify at the official NPI Registry.