Individual provider Active NPI

Tariq Jamil Khan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Columbus, OH
National Provider Identifier
1831112473
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35079665 Issued in OH
Practice address
4882 E Main St Ste 210
Columbus, OH 43213-3536
Phone
(614) 566-0610
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A5634 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35079665 OH Primary

Addresses

Primary practice location

4882 E Main St Ste 210
Columbus, OH 43213-3536

Mailing address

5450 Frantz Rd Ste 360
Dublin, OH 43016-4141

Other practice location 1

4882 E Main St Ste 210
Columbus, OH 43213-3536
Phone (614) 566-0610

Other practice location 2

5678 Far Hills Ave
Kettering, OH 45429-2206
Phone (937) 279-8630

Other identifiers 1

IdentifierTypeStateIssuer
2261636MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tkhan303359@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000431 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 4183689920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

5678 Far Hills Ave
Kettering, OH 45429-2206
Phone (937) 279-8630

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A5634CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Feb 1, 2026 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 1, 2018 Accepting new patients
Premier Health Specialists Inc CurrentSince Feb 1, 2026 Accepting new patients
Ohiohealth Corporation Endocrinology, Diabetes & Metabolism CurrentSince Sep 1, 2018 Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

4882 E Main St
Ste 210
Columbus, OH 43213
Phone (614) 566-0610

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

5678 Far Hills Ave
Kettering, OH 45429
Phone (937) 279-8630

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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.

Hospital & facility affiliations 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1831112473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD STE 360",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4882 E MAIN ST STE 210",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133536",
            "telephone_number": "614-566-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4882 E Main St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432133536",
            "country_code": "US",
            "telephone_number": "614-566-0610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5678 Far Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454292206",
            "country_code": "US",
            "telephone_number": "937-279-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TARIQ",
        "middle_name": "JAMIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A5634",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35079665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2261636",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkhan303359@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "4882 E Main St",
            "address_2": "Ste 210",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432133189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.