Individual provider Active NPI

Rafik Khalil, MD

  • Diagnostic Radiology Physician
  • Lodi, OH
National Provider Identifier
1023110277
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.061951 Issued in OH
Practice address
225 Elyria St
Lodi, OH 44254-1031
Phone
(330) 948-1222
NPI assigned
Sep 1, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.061951 OH Primary

Addresses

Primary practice location

225 Elyria St
Lodi, OH 44254-1031

Mailing address

PO Box 931286
Cleveland, OH 44193-1494
Phone (888) 719-9012

Other identifiers 6

IdentifierTypeStateIssuer
738798OtherOHBUCKEYE COMMUNITY HEALTH PLAN
300076005OtherOHRRMC
026909600OtherOHBLACKLUNG
58042OtherOHQUALCHOICE
0141957MedicaidOH
000000025735OtherOHANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050302001116 OH Practitioner - Diagnostic Radiology 5597718460 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500

1940 Town Park Blvd
Uniontown, OH 44685-7855
Phone (330) 896-5010

225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-1222

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

4125 Medina Rd
Akron, OH 44333-2483
Phone (330) 665-8000

4300 Allen Rd
Stow, OH 44224-1032
Phone (330) 945-9300

762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024
Phone (330) 665-4100

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.061951OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Oct 21, 2014 Accepting new patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Jan 1, 2015 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 21, 2014 Accepting new patients
Reflections Breast Health Center Diagnostic Radiology Past Accepting new patients
Reflections Breast Health Center Diagnostic Radiology Past Accepting new patients

Locations

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

2603 W Market St
Akron, OH 44313
Phone (330) 867-7274

2603 W Market St
Ste 200
Akron, OH 44313
Phone (330) 854-1571

4125 Medina Rd
Ste 102
Akron, OH 44333
Phone (330) 665-8050

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

1587 Boettler Rd
Ste 101
Green, OH 44685
Phone (330) 896-9725

225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222

33 North Ave
Ste 202
Tallmadge, OH 44278
Phone (330) 344-3142

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Organizations & group practices 6

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1023110277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931286",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931494",
            "telephone_number": "888-719-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "RAFIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.061951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH PLAN",
            "identifier": "738798",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "300076005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACKLUNG",
            "identifier": "026909600",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "58042",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141957",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000025735",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, OH

Sources for this page

Verify at the official NPI Registry.