Active NPI
Deya Aldeen Mohammad Ali Alkhatib, MD
- Cardiovascular Disease Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME176907
- Practice address
- 1120 15TH St # Or6000
Augusta, GA 30912-3220 - Phone
- (706) 721-8623
- NPI assigned
- Aug 4, 2017
- Last updated
- Jul 23, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 75291 | CT | |
| Cardiovascular Disease Physician | 207RC0000X | 98012 | GA | |
| Cardiovascular Disease Physician | 207RC0000X | ME176907 | FL | Primary |
Addresses
Primary practice location
1120 15TH St # Or6000
Augusta, GA 30912-3220
Mailing address
768 Nuttall St
Evans, GA 30809-0838
Phone (410) 225-8790
Other practice location 1
399 9th St N Ste 300
Naples, FL 34102-5820
Phone (239) 624-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
3722 Wheeler Rd
Augusta, GA 30909-6756
399 9TH St N
300A Naples Heart Institute
Naples, FL 34102-5820
Phone (239) 436-5634
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
587 Furys Ferry Rd
Martinez, GA 30907-9059
Phone (706) 721-8623
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME176907 | FL | MD | Cardiovascular Disease Physician |
| 75291 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current | Accepting new patients | |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Nchmd Inc | Cardiovascular Disease | Current | Accepting new patients |
| Au Medical Associates Inc | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Au Medical Center, Inc | Past | Accepting new patients |
Locations
399 9th St N
Ste 300300A
Naples, FL 34102
Phone (239) 436-5634
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
1120 15th St
Augusta, GA 30912
Phone (706) 721-3873
1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dalkhatib116582@nchhealthcaresystem.direct-ci.com
Organizations & group practices 7
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
dba Augusta University Health West Wheeler
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Long Term Care Hospital
- Lehigh Acres, FL
- NPI 1932595659
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1942725544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "768 NUTTALL ST",
"city": "EVANS",
"state": "GA",
"postal_code": "308090838",
"telephone_number": "410-225-8790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 15TH ST # OR6000",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309123220",
"telephone_number": "706-721-8623"
}
],
"practiceLocations": [
{
"address_1": "399 9th St N Ste 300",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "341025820",
"country_code": "US",
"telephone_number": "239-624-4200",
"fax_number": "239-624-4241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALKHATIB",
"first_name": "DEYA",
"middle_name": "ALDEEN MOHAMMAD ALI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-04",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "75291",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "98012",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME176907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.