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SHAKOORA ANEESAH AL-KHATTAB MD, PHD
NPI 1841995479
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 03, 2023PECOS Enrolled
705 RILEY HOSPITAL DR RM 5837, INDIANAPOLIS, IN 46202(317) 948-0003 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2024, Apr 3, 2023 (2 updates tracked since 2023).

About Shakoora Aneesah Al-khattab Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAKOORA ANEESAH AL-KHATTAB MD, PHD (NPI 1841995479) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841995479
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAKOORA ANEESAH AL-KHATTABCredential: MD, PHD
Location Address705 RILEY HOSPITAL DR RM 5837Indianapolis, IN 46202-5109
Mailing Address705 Riley Hospital Dr Rm 5837Indianapolis, IN 46202-5109 · (317) 948-0003
Phone(317) 948-0003
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1841995479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
705 RILEY HOSPITAL DR RM 5837, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shakoora Aneesah Al-khattab Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY KATHERINE LAWSON
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
MEERA FARZANA IYENGAR
Internal Medicine (Gastroenterology)
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-9899
HEATHER JANELLE ANDRADE MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
ANTONIA BARTLETT
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
HILARY BROOKE KLEPPEL
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
DR. JEREMY FRANCISCO GARCIA MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
DR. JENNY KYEONGMIN KIM MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
DYLAN FREDRICK KLINGLER MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR RM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shakoora Al-khattab's NPI number?

The NPI number for Shakoora Al-khattab is 1841995479. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Shakoora Al-khattab located?

Shakoora Al-khattab practices at 705 Riley Hospital Dr Rm 5837, Indianapolis, IN 46202. The listed phone number is (317) 948-0003.

What is Shakoora Al-khattab's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shakoora Al-khattab enrolled in Medicare?

Yes. Shakoora Al-khattab is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shakoora Al-khattab was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.