NPIMap

Individual provider Active NPI

Fares Khater, MD

  • Internal Medicine Physician
  • Whitesburg, KY
National Provider Identifier
1992732101
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37623 Issued in KY
Practice address
226 Medical Plaza Lane
Whitesburg, KY 41858
Phone
(606) 633-4871
Fax
(606) 633-0883
NPI assigned
Jun 26, 2006
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37623 KY Primary
Infectious Disease Physician 207RI0200X 37623 KY

Addresses

Primary practice location

226 Medical Plaza Lane
Whitesburg, KY 41858

Mailing address

PO Box 40
Whitesburg, KY 41858
Phone (606) 633-4823

Other identifiers 1

IdentifierTypeStateIssuer
64063241MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315001448 KY Practitioner - Internal MedicinePractitioner - Infectious Disease 2961391958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

226 Medical Plaza LN
Whitesburg, KY 41858-7425
Phone (606) 633-4871

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37623KYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Health Corporation Current Accepting new patients
Mountain Comprehensive Health Corporation CurrentSince Jul 1, 2003 Accepting new patients
Mountain Comprehensive Health Corporation Internal Medicine CurrentSince Jul 1, 2003 Accepting new patients
Mountain Comprehensive Health Corporation Past Accepting new patients

Locations

226 Medical Plaza Ln
Whitesburg, KY 41858
Phone (606) 633-4871

Interoperability endpoints

  • Direct secure messaging: fares.khater.p1@direct.mtncomp.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1992732101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-633-4823",
            "fax_number": "606-633-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MEDICAL PLAZA LANE",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-633-4871",
            "fax_number": "606-633-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATER",
        "first_name": "FARES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37623",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "37623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64063241",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesburg, KY

Sources for this page

Verify at the official NPI Registry.