{"npi":"1205855418","type":"NPI-1","status":"active","name":{"display":"Dr. Imad Khadra MD","other":[],"first":"IMAD","last":"KHADRA","middle":"E.","credential":"MD"},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207RC0200X","description":"Critical Care Medicine (Internal Medicine) Physician","primary":false,"state":"IN","license":"01036728"},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"IN","license":"01036728"}]},"addresses":[{"purpose":"LOCATION","street_1":"3920 ST FRANCIS WAY STE 220","city":"LAFAYETTE","state":"IN","postal_code":"47905","country_code":"US","phone":"7655024110","fax":"7654285951"},{"purpose":"MAILING","street_1":"PO BOX 781076","city":"DETROIT","state":"MI","postal_code":"482781076","country_code":"US","phone":"3175284800","fax":"3178651479"}],"license":{"state":"IN","number":"01036728"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100087520","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"M400062471","state":"IN","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041102000293","type_code":"14-81","type_desc":"PRACTITIONER - CRITICAL CARE (INTENSIVISTS)","state":"IN","pac_id":"1951363944"}]},"enumeration_date":"2006-07-19","last_updated":"2023-05-08","_meta":{"source":"NPPES","snapshot_date":"2023-05-08","doc_url":"https://findmynpi.com/api"}}