Individual provider Active NPI

Fred K Khalouf, DO

  • Interventional Pain Medicine Physician
  • Altoona, PA
National Provider Identifier
1013960277
Registry record updated Sep 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS004841L Issued in PA
Practice address
3000 Fairway Dr
Altoona, PA 16602-4472
Phone
(814) 942-1166
Fax
(814) 283-0085
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X OS004841L PA Primary

Addresses

Primary practice location

3000 Fairway Dr
Altoona, PA 16602-4472

Mailing address

101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000561 PA Practitioner - Pain ManagementPractitioner - Anesthesiology 9133172414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Philadelphia College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Orthopedics Center, LTDGroup PAC ID 4284528621, 58 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

3000 Fairway Dr
Altoona, PA 16602-4472
Phone (814) 942-1166

Merit-based Incentive Payment System (MIPS)

Final score
79.62 of 100Reported as group
Quality
76.03
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
University Orthopedics Center, LTD CurrentSince Jan 1, 2015 Accepting new patients
University Orthopedics Center, LTD CurrentSince Jan 1, 2015 Accepting new patients
Windber Hospital, Inc. Interventional Pain Medicine Past Accepting new patients

Locations

3000 Fairway Dr
Altoona, PA 16602
Phone (814) 942-1166

101 Regent Ct
State College, PA 16801
Phone (814) 231-1504

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504224000000",
    "number": "1013960277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017965",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FAIRWAY DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024472",
            "telephone_number": "814-942-1166",
            "fax_number": "814-283-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALOUF",
        "first_name": "FRED",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "OS004841L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.