Individual provider Active NPI

Khalid Dousa Abdulrahman, MD, CABIM

  • Infectious Disease Physician
  • Cleveland, OH
National Provider Identifier
1780068031
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
35.136202 Issued in OH
Practice address
11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-1716
Phone
(216) 844-1000
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 21011-875 WI
Infectious Disease Physician 207RI0200X 35.136202 OH Primary

Addresses

Primary practice location

11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave
University Hospitals Case Medical Center
Cleveland, OH 44106-1716

Other identifiers 2

IdentifierTypeStateIssuer
1780068031MedicaidOH
100175104MedicaidWI

Other names 1

  • Khalid M. Dousa Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20200401000929 OH Practitioner - Internal MedicinePractitioner - Infectious Disease 2860821584 Reassigns benefits to 3 organizations
I20210819000616 WI Practitioner - Infectious Disease 2860821584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2629 N 7TH St
Sheboygan, WI 53083-4932
Phone (920) 451-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2021 Accepting new patients
4M Hospitalist Services, LLC CurrentSince Jan 1, 2021 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Aurora Health Care Central, Inc. CurrentSince Jul 20, 2021 Accepting new patients
Aurora Health Care Central, Inc. CurrentSince Jul 20, 2021 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2020 Accepting new patients
Inpatient Medical Services, Inc. CurrentSince Feb 7, 2020 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

4040 Embassy Pkwy
Ste 400
Akron, OH 44333
Phone (330) 576-4295

11100 Euclid Ave
Cleveland Heights, OH 44106

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

901 Reed St
Plymouth, WI 53073
Phone (920) 451-5579

2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461

Interoperability endpoints

  • Direct secure messaging: kabdulrahman135082@direct.metrohealth.org
  • Direct secure messaging: kabdulrahman318927@direct.myadvocateaurora.org
  • Direct secure messaging: kabdulrahman218268@ehrdirect.uhhospitals.org

Organizations & group practices 10

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1780068031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "address_2": "UNIVERSITY HOSPITALS CASE MEDICAL CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULRAHMAN",
        "first_name": "KHALID DOUSA",
        "credential": "MD, CABIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WI",
            "license": "21011-875",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "35.136202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780068031",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100175104",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALID",
            "last_name": "DOUSA",
            "middle_name": "M.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.