Active NPI
Khaled Ali Obeidat, M.D
- Transplant Surgery Physician
- Columbus, OH
National Provider Identifier
1912112707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transplant Surgery Physician
- License
- 57.012586
- Practice address
- 1654 Upham Dr
369 Means Hall
Columbus, OH 43210-1250 - Phone
- (614) 293-8545
- NPI assigned
- May 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Transplant Surgery Physician | 204F00000X | 57.012586 | OH | Primary |
Addresses
Primary practice location
1654 Upham Dr
369 Means Hall
Columbus, OH 43210-1250
Mailing address
1654 Upham Dr
369 Means Hall
Columbus, OH 43210-1250
Phone (614) 293-8545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.012586 | OH | MD | Transplant Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912112707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1654 UPHAM DR",
"address_2": "369 MEANS HALL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101250",
"telephone_number": "614-293-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1654 UPHAM DR",
"address_2": "369 MEANS HALL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101250",
"telephone_number": "614-293-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBEIDAT",
"first_name": "KHALED",
"middle_name": "ALI",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "OH",
"license": "57.012586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.