NPIMap

Individual provider Active NPI

Hasan Khalidi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Louisville, KY
National Provider Identifier
1841293206
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
38353 Issued in KY
Practice address
2307 Greene Way
Louisville, KY 40220-4009
Phone
(502) 897-9594
NPI assigned
May 31, 2005
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 38353 KY Primary

Addresses

Primary practice location

2307 Greene Way
Louisville, KY 40220-4009

Mailing address

PO Box 950251
Louisville, KY 40295-0251
Phone (502) 897-9594

Other identifiers 1

IdentifierTypeStateIssuer
64079684MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090616000496 TX Practitioner - Pathology 0042109662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5000

921 Gessner Rd
Houston, TX 77024-2501
Phone (281) 407-2439

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.55 of 100Reported as group
Quality
81.43
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38353KYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Pathology Consultants PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2009 Accepting new patients
Memorial Pathology Consultants PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Memorial Pathology Consultants, PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2009 Accepting new patients
Clinical Associates, LLC Anatomic Pathology & Clinical Pathology PastSince Jan 1, 1990 Accepting new patients

Locations

7600 Beechnut St
Fl 2
Houston, TX 77074
Phone (713) 456-5000

Organizations & group practices 4

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 8

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1841293206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950251",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950251",
            "telephone_number": "502-897-9594",
            "fax_number": "502-896-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 GREENE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204009",
            "telephone_number": "502-897-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIDI",
        "first_name": "HASAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "38353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64079684",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.