IndividualActive
Jasser Khairallah, DO
NPI 1396249561 · Addiction Medicine (Family Medicine) Physician · Indianapolis, IN
Provider details
- NPI number
- 1396249561
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02006880A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6002 E 38th St
Indianapolis, IN 46226-5614
Phone: (317) 880-6002
Street-level locationGet directions
Mailing address
Po Box 637764
Cincinnati, OH 45263-7764
Additional practice locations (2)
- 720 Eskenazi AveIndianapolis, IN 46202-5187Phone: (317) 880-7666Fax: (317) 880-0448
- 3840 N Sherman DrIndianapolis, IN 46226-4462Phone: (317) 541-3401
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.