NPIMap

Individual provider Active NPI

Khabbab Amin, DO

  • Internal Medicine Physician
  • Midwest City, OK
National Provider Identifier
1821526237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6871 Issued in OK
Practice address
2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone
(405) 610-4411
NPI assigned
May 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 6871 OK Primary

Addresses

Primary practice location

2825 Parklawn Dr
Midwest City, OK 73110-4201

Mailing address

450 Clarkson Avenue
Suny Downstate- Im Department
Brooklyn, NY 11203
Phone (718) 270-1566

Other practice location 1

450 Clarkson Ave
Suny Downstate- IM Department
Brooklyn, NY 11203-2012
Phone (718) 270-1566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20200526000812 OK Practitioner - Internal Medicine 6709215130 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Care Hospitalist Group PLLCGroup PAC ID 3779862446, 22 clinicians
Optimum Post Acute Care PLLCGroup PAC ID 5799162111, 18 clinicians
Midwest Hospitalist Group PLLCGroup PAC ID 9133465354, 18 clinicians

Practice addresses (Care Compare)

1 S Bryant Ave
Edmond, OK 73034-6309
Phone (405) 341-6100

1501 E 19TH St
Edmond, OK 73013-6618
Phone (405) 914-2356

2401 W Wrangler Blvd
Alliance Health Seminole
Seminole, OK 74868-1917
Phone (405) 303-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.13 of 100Reported as group
Quality
50.94
Improvement activities
30
Cost
71.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6871OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Post Acute Care PLLC Internal Medicine CurrentSince Jan 11, 2025 Accepting new patients
Optimum Care Hospitalist Group PLLC Internal Medicine CurrentSince Feb 19, 2024 Accepting new patients
Midwest Hospitalist Group PLLC Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Optimum Pac PLLC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Timberlane Manor, LLC Past Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients

Locations

1 S Bryant Ave
Edmond, OK 73034
Phone (405) 341-6100

1501 E 19th St
Edmond, OK 73013
Phone (405) 348-6611

1104 E State Highway 152
#1
Mustang, OK 73064
Phone (405) 376-9544

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

Interoperability endpoints

  • Direct secure messaging: kamin393882@direct-ehr-ssmhc.com

Organizations & group practices 7

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 4

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821526237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVENUE",
            "address_2": "SUNY DOWNSTATE- IM DEPARTMENT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11203",
            "telephone_number": "718-270-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 PARKLAWN DR",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104201",
            "telephone_number": "405-610-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_2": "Suny Downstate- IM Department",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "KHABBAB",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "6871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.