Pervez A Khatib, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD09517 Issued in RI

Practice address

2000 Diamond Hill Rd Ste 18
Woonsocket, RI 02895-1554

Phone

(401) 470-7116

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osh - Ri Physicians Group PCGroup PAC ID 5193051936, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nurse on Call Home health agency, Lincoln, RI, CCN 417059
• Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pervez.khatib@oakstreethealth.com

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.

• Osh - Ri Physicians Group, PC

  • Primary Care Clinic/Center
  • Warwick, RI
  • NPI 1063984813
  Medicare reassignment Care Compare group
• Nes Rhode Island, Inc.

  • Emergency Medicine Physician
  • North Providence, RI
  • NPI 1730160151
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Innovative Senior Care Home Health of Rhode Island LLC

  • Home Health Agency
  • Lincoln, RI
  • NPI 1578839361
  Care Compare affiliation
• Prime Healthcare Services Landmark LLC

  • General Acute Care Hospital
  • Woonsocket, RI
  • NPI 1699752923
  Care Compare affiliation
• Prime Healthcare Services-Landmark LLC

  • Psychiatric Hospital Unit
  • Woonsocket, RI
  • NPI 1396722666
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1881687481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746088",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746088",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 DIAMOND HILL RD STE 18",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028951554",
            "telephone_number": "401-470-7116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Curtis St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029093623",
            "country_code": "US",
            "telephone_number": "401-444-0540",
            "fax_number": "401-444-0424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "PERVEZ",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD09517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pervez.Khatib@oakstreethealth.com",
            "affiliation": "N",
            "address_1": "2000 Diamond Hill Rd Ste 18",
            "city": "Woonsocket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028951554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Key
• Abdul Allam Khan
• Faridoon Khan, M.D.
• Hamza Ali Khan, M.D
• Jibran Khan, M.D.
• Catherine Ndagire Kigonya, M.D
• Brian Patrick Kiley, OD
• Bethany Killian, LCSW
• Charles J Kim, MD
• Mercedita Villar Kimbrough, FNP-BC

• Family Medicine Physician in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.