KHATIB FAMILY PRACTICE PLC
NPI 1528251667
Family Medicine in Bullhead City, AZ

NPI Status: Active since August 22, 2007

Contact Information

2755 SILVER CREEK RD
SUITE 109
BULLHEAD CITY, AZ
ZIP 86442
Phone: (928) 763-9009
Fax: (928) 763-9292

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  • Organization
  • Family Medicine
  • CLIA Number: 03D1032596
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-25-2026

About KHATIB FAMILY PRACTICE PLC

This page provides the complete NPI Profile along with additional information for Khatib Family Practice Plc, a primary care provider established in Bullhead City, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1528251667 assigned on August 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 26804 (AZ). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Susan Khatib (Office Manager)

NPI
1528251667
Provider Name
KHATIB FAMILY PRACTICE PLC
Entity Type
Organization
Location Address
2755 SILVER CREEK RD SUITE 109 BULLHEAD CITY, AZ 86442
Location Phone
(928) 763-9009
Location Fax
(928) 763-9292
Mailing Address
PO BOX 20758 BULLHEAD CITY, AZ 86439
Mailing Phone
(928) 763-9009
Mailing Fax
(928) 763-9292
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-22-2007
Last Update Date
12-18-2007
Code Navigator

A primary care provider (PCP) like Khatib Family Practice Plc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
26804
License State
AZ
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SUSAN KHATIB

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(928) 763-9009

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100305MEDICARE PIN (08)AZ 
G74455MEDICARE UPIN (02)AZ 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1032596
Facility Type
Physician Office
Certificate Effective Date
October 26, 2024
Certificate Expiration Date
October 25, 2026
Laboratory Director
NADIM B. KHATIB, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Khatib Family Practice Plc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1528251667, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
2
Doubled → 4
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 4 + 8 + 4 + 5 + 2 + 6 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1528251667.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
2755 SILVER CREEK RD, SUITE 109
BULLHEAD CITY, AZ 86442
Surgery
2755 SILVER CREEK RD, SUITE 111
BULLHEAD CITY, AZ 86442
Radiology (Radiation Oncology)
2755 SILVER CREEK RD, SUITE 115
BULLHEAD CITY, AZ 86442
Clinic/Center (Oncology, Radiation)
2755 SILVER CREEK RD, SUITE 115
BULLHEAD CITY, AZ 86442
Clinical Medical Laboratory
2755 SILVER CREEK RD, SUITE 203
BULLHEAD CITY, AZ 86442
Internal Medicine (Interventional Cardiology)
2755 SILVER CREEK RD, SUITE 217
BULLHEAD CITY, AZ 86442
Ambulance (Air Transport)
2755 SILVER CREEK RD
BULLHEAD CITY, AZ 86442

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528251667, enumerated as an "organization" on August 22, 2007.

The provider is located at 2755 SILVER CREEK RD SUITE 109 BULLHEAD CITY, AZ 86442 and the phone number is (928) 763-9009.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.