Hesham Khalifa Khalfan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01060055 Issued in IN

Practice address

2209 John R Wooden Dr
Martinsville, IN 46151-1840

Phone

(765) 349-9856

Fax

(765) 349-6442

NPI assigned

Jan 19, 2006

Last updated

Aug 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Indiana Internal Medicine Consultants, LLC.

  • Internal Medicine Physician
  • Greenwood, IN
  • NPI 1609834357
  NPD (past)
• Morgan Physician Specialists, LLC

  • Surgery Physician
  • Martinsville, IN
  • NPI 1104827633
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1083694624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 JOHN R WOODEN DR",
            "address_2": "PHYSICIAN HEALTH CENTER SOUTH",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511840",
            "telephone_number": "765-349-9856",
            "fax_number": "765-349-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 JOHN R WOODEN DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511840",
            "telephone_number": "765-349-9856",
            "fax_number": "765-349-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALFAN",
        "first_name": "HESHAM",
        "middle_name": "KHALIFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01060055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000000551058",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200513930",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Robert Kelley, PHD
• September Marie Lynn Kennedy, RN, CLC
• Keather Kent, BCBA
• Kerr Services LLC (Family Friends Home Health Care)
• Kevin a Deloria DDS
• Libby Kimbrough, LMHC
• Laura Knoblauch
• Kroger Limited Partnership I (Kroger Pharmacy)
• Susan Ksenak
• Marina Nicole Kuchenberg, ATC

• Internal Medicine Physician in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.