| Dr Imad E Khadra, MD | |
|
3920 St Francis Way Ste 220, Lafayette, IN 47905 | |
| (765) 502-4110 | |
| (765) 428-5951 |
| Full Name | Dr Imad E Khadra |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 44 Years |
| Location | 3920 St Francis Way Ste 220, Lafayette, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205855418 | NPI | - | NPPES |
| 100087520 | Medicaid | IN | |
| M400062471 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 01036728 (Indiana) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 01036728 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Franciscan Health Rensselaer, Inc | Rensselaer, IN | Hospital |
| Franciscan Health Crawfordsville | Crawfordsville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franciscan Physician Network | 3072790682 | 1041 |
| Entity Name | State Of Indiana Auditor Of State |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564 |
| Entity Name | Franciscan Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Imad E Khadra, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Dr Imad E Khadra, MD 3920 St Francis Way Ste 220, Lafayette, IN 47905 Ph: (765) 502-4110 |
Michelle B Herberts, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8564 | |
Jahan Ali Khajeh, Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 | |
Dr. Carlos Salazar Carcamo, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-583-2444 | |
Maria L Srour, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7631 | |
Steven Rudolf Steinhubl, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-838-4333 | |
Michael Leo Hogan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905 Phone: 765-775-2800 Fax: 765-775-2831 | |
Carlos A Gambirazio, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7624 |