Bachar Al Khatib, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01053337A Issued in IN

Practice address

1420 S Pilgrim Blvd
Yorktown, IN 47396-9250

Phone

(765) 759-4068

Fax

(765) 759-4075

NPI assigned

Jul 23, 2006

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana University Health Ball Memorial Physicians IncGroup PAC ID 9537072640, 286 clinicians

Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoosier Homecare Services LLC Home health agency, Anderson, IN, CCN 157608
• Indiana University Health Ball Memorial Hospital Hospital, Muncie, IN, CCN 150089
• Indiana University Health Jay, Inc. Hospital, Portland, IN, CCN 151320

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: basharkhatib@ia.allscriptsdirect.net
• Direct secure messaging: bkhatib@direct.iuhealth.org

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.

• Indiana University Health Ball Memorial Physicians, Inc.

  • Family Medicine Physician
  • Muncie, IN
  • NPI 1235455544

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Iu Health Medical Group, LLC

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1326893777
  Medicare reassignment Care Compare group NPD
• Lana Bucchino LLC

  • Primary Care Clinic/Center
  • Muncie, IN
  • NPI 1760813422
  NPD
• M & M Internal Medicine, LLC

  • Internal Medicine Physician
  • Muncie, IN
  • NPI 1376567057
  NPD
• Rainmaker Production Services, LLC

  • Internal Medicine Physician
  • Muncie, IN
  • NPI 1306104435
  NPD
• Royale Internal Medicine, LLC

  • Internal Medicine Physician
  • Muncie, IN
  • NPI 1225450836
  NPD
• Wellcare Medical, LLC

  • Internal Medicine Physician
  • Muncie, IN
  • NPI 1780948646
  NPD

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

• Hoosier Homecare Services, LLC

  • Home Health Agency
  • Anderson, IN
  • NPI 1801075049
  Care Compare affiliation
• Indiana University Health Ball Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Muncie, IN
  • NPI 1225195340
  Care Compare affiliation
• Indiana University Health Jay, Inc.

  • Critical Access Hospital
  • Portland, IN
  • NPI 1801315692
  Care Compare affiliation

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1992726814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S PILGRIM BLVD",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473969250",
            "telephone_number": "765-759-4068",
            "fax_number": "765-759-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL KHATIB",
        "first_name": "BACHAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01053337A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200295820A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkhatib@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1420 S Pilgrim Blvd",
            "city": "Yorktown",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473969250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Active Day in, Inc. (Active Day of Delaware County)
• Adams County Memorial Hospital (Yorktown Manor)
• Ahp Yorktown Al LLC (Heritage Assisted Living of Yorktown)
• Haley Mae Anderson, FNP
• Morgan Anderson
• Darla Sue Baker, PT ATC L
• Holly Baxter, COTA
• Kyra Lee Blankenship, FNP

• Internal Medicine Physician in Yorktown, IN
• Providers in Yorktown, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.