Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Omar Khan, MD

Individual provider Diagnostic Radiology Physician · NPI 1104211309

Omar Khan, MD is a Diagnostic Radiology in Dayton, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2015, 11 years ago. Practices with Northgate Medical Imaging LLC, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Ohio.

Years since qualifying
11
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
MA, OH
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-3118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Fruit St # 210, Boston, MA 02114-2696 — (617) 726-7717

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 35.141235 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 281871 (MA)

Record details

NPI number1104211309
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 3, 2015
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing addressPo Box 750243, Dayton, OH 45475-0243

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Northgate Medical Imaging Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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