Individual provider Active NPI

Fadi H Alkhatib, DO

  • Allergy & Immunology Physician
  • West Des Moines, IA
National Provider Identifier
1972869717
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
DO-05403 Issued in IA
Practice address
2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540
Phone
(515) 223-8622
Fax
(515) 223-5324
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 8

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.

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Institute PC 3 clinicians
Baystate Medical Practices Inc 1,350 clinicians

Practice addresses (Care Compare)

2001 Westown Pkwy
Suite 107
West Des Moines, IA 50265-1540
Phone (515) 223-8622

280 Chestnut St
Suite 2
Springfield, MA 01199-1001

610 10TH St
Perry, IA 50220-2221
Phone (515) 223-8622

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439

800 S Fillmore St
Clarke Cty Hospital
Osceola, IA 50213-1619
Phone (515) 223-8622

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150708001781 MA Practitioner - HospitalistPractitioner - Internal Medicine 4688818271 Reassigns benefits to 2 organizations
I20181101000913 FL Practitioner - Internal Medicine 4688818271 Reassigns benefits to 1 organization
I20190827000716 IA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 4688818271 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262827MAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Aug 20, 2018 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine Current Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Nov 5, 2018 Accepting new patients
Allergy Institute, P.C. Allergy & Immunology CurrentSince Aug 1, 2019 Accepting new patients
Core Physical Therapy Inc CurrentSince Sep 5, 2023 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Aug 20, 2018 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

3720 N Ankeny Blvd
Unit 100
Ankeny, IA 50023

3720 N Ankeny Blvd
Ste 100
Ankeny, IA 50023
Phone (515) 223-8622

300 N 4th Ave E
Newton, IA 50208
Phone (515) 644-3400

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

610 10th St
Perry, IA 50220
Phone (515) 465-3547

1701 22nd St
Ste 207
West Des Moines, IA 50266
Phone (515) 223-8622

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265
Phone (515) 223-8622

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Interoperability endpoints

  • Direct secure messaging: falkhatib817787@direct.unitypoint.org
  • Direct secure messaging: falkhatib296854@direct.hfhs.org

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 262827 MA
Hospitalist Physician 208M00000X 262827 MA
Student in an Organized Health Care Education/Training Program 390200000X
Allergy & Immunology Physician 207K00000X DO-05403 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540

Mailing address

2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540
Phone (515) 223-8622

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2023.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1972869717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-223-8622",
            "fax_number": "515-223-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-223-8622",
            "fax_number": "515-223-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKHATIB",
        "first_name": "FADI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "262827",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "262827",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IA",
            "license": "DO-05403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.