Active NPI
Zia Ullah Khan, M.D
- Addiction Medicine (Family Medicine) Physician
- Cleveland, OH
National Provider Identifier
1871752519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 35.133441
- Practice address
- 5209 Euclid Ave
Cleveland, OH 44103-3703 - Phone
- (216) 881-0765
- Fax
- (216) 431-2190
- NPI assigned
- Jun 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 35.133441 | OH | Primary |
Addresses
Primary practice location
5209 Euclid Ave
Cleveland, OH 44103-3703
Mailing address
5209 Euclid Ave
Cleveland, OH 44103-3703
Phone (216) 881-0765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.133441 | OH | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St.Vincent' Hospital Westchester Psych | Current | Accepting new patients | |
| Community Counseling Center of Ashtabula County | Current | Accepting new patients | |
| St Josephs Hospital Yonkers | Current | Accepting new patients | |
| St. Joseph'S Hospital Yonkers | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| St. Joseph'S Hospital, Yonkers | Current | Accepting new patients | |
| Fortaleza,LLC | Addiction Medicine | Past | Accepting new patients |
Locations
275 North St
Harrison, NY 10528
Phone (914) 925-5211
2801 C Ct
Ashtabula, OH 44004
Phone (440) 998-0722
Organizations & group practices 6
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Yonkers, NY
- NPI 1356316921
-
- Adolescent and Children Mental Health Clinic/Center
- Ashtabula, OH
- NPI 1720029622
-
- General Acute Care Hospital
- Harrison, NY
- NPI 1679883037
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1477640258
-
- Counseling Psychologist
- Harrison, NY
- NPI 1932400140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1871752519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5209 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033703",
"telephone_number": "216-881-0765",
"fax_number": "216-431-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5209 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033703",
"telephone_number": "216-881-0765",
"fax_number": "216-431-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ZIA",
"middle_name": "ULLAH",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "OH",
"license": "35.133441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.