Individual provider Active NPI

Mohammad Atiq Khalid, M.D.

  • Interventional Cardiology Physician
  • Middletown, OH
National Provider Identifier
1952303133
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35080979 Issued in OH
Practice address
103 McKnight Dr
Suite a
Middletown, OH 45044-4890
Phone
(513) 217-6400
Fax
(513) 217-6037
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35.080979 OH
Interventional Cardiology Physician 207RI0011X 35080979 OH Primary

Addresses

Primary practice location

103 McKnight Dr
Suite a
Middletown, OH 45044-4890

Mailing address

103 McKnight Dr
Suite a
Middletown, OH 45044-4890
Phone (513) 217-6400

Other practice location 1

5275 State Route 122 Ste 200
Franklin, OH 45005-9617
Phone (513) 217-6400

Other identifiers 1

IdentifierTypeStateIssuer
2309764MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000912 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4284614470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

1 Wyoming St
Berry Women's Center Labor and Delivery
Dayton, OH 45409-2939
Phone (937) 439-4381

30 E Apple St
Dayton, OH 45409-2939

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

5275 State Route 122
Suite 200
Franklin, OH 45005-9617
Phone (513) 217-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080979OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Apr 10, 2017 Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease CurrentSince Apr 10, 2017 Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Aurora Advanced Healthcare, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Advanced Healthcare SC Cardiovascular Disease Past Accepting new patients
Tri State Diagnostic Services , Inc Past Accepting new patients

Locations

6623 Centerville Business Pkwy
Centerville, OH 45459
Phone (937) 291-6900

1530 Needmore Rd
Ste 300
Dayton, OH 45414
Phone (937) 208-6745

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

5275 State Route 122
Ste 200
Franklin, OH 45005

742 Sweitzer St
Ste 1
Greenville, OH 45331
Phone (937) 276-8320

103 McKnight Dr
Ste A
Middletown, OH 45044
Phone (513) 424-1440

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1952303133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MCKNIGHT DR",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444890",
            "telephone_number": "513-217-6400",
            "fax_number": "513-217-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MCKNIGHT DR",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444890",
            "telephone_number": "513-217-6400",
            "fax_number": "513-217-6037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5275 State Route 122 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "OH",
            "postal_code": "450059617",
            "country_code": "US",
            "telephone_number": "513-217-6400",
            "fax_number": "937-557-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "MOHAMMAD",
        "middle_name": "ATIQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.080979",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35080979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2309764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.