Adel S. Khalil, D.D.S., M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

2901018891 Issued in MI

Practice address

2435 Webster St Ste 200
Berkeley, CA 94705-2050

Phone

(510) 548-9114

Fax

(510) 548-8046

NPI assigned

May 1, 2007

Last updated

Oct 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 2, 2017 through Oct 2, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: akhalil160307@hisp.ehr.sutterhealth.org

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.

• A Khalil DDS Apc

  dba Albany Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Albany, CA
  • NPI 1992269799
  NPD (past) Authorized official
• Adel Khalil D.D.S., M.D. P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Berkeley, CA
  • NPI 1861772790
  NPD (past) Authorized official
• Keith T. Nelson, DDS Inc

  • Dentist
  • Berkeley, CA
  • NPI 1184762643
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1073734612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 WEBSTER ST STE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052050",
            "telephone_number": "510-548-9114",
            "fax_number": "510-548-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 WEBSTER ST STE 200",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052050",
            "telephone_number": "510-548-9114",
            "fax_number": "510-548-8046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "CA",
            "postal_code": "947061124",
            "country_code": "US",
            "telephone_number": "510-526-8000",
            "fax_number": "510-526-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3031 Telegraph Ave Ste 234",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052053",
            "country_code": "US",
            "telephone_number": "510-548-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "ADEL",
        "middle_name": "S.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "59216",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "2901018891",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301093272",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901018891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Kettering, RD
• Robert M Kevess, MD
• Khaan Transportation LLC
• Sara Khabiri
• Oliver K Khakmahd, MD
• Robert Anthony Khalil, DDS
• Nabilah Khan, ASW, MSW
• Raihaana Khan
• Tiffany Loa-Shin Khoo, O.D.
• Ameneh Khosrovani, DDS

• Dentist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.