Active NPI
Hanan Ibrahim Khalil, MD
- Diagnostic Radiology Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD11551
- Practice address
- 125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785 - Phone
- (401) 432-2520
- Fax
- (401) 453-8220
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 11551 | RI | |
| Diagnostic Radiology Physician | 2085R0202X | 261910 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | MD11551 | RI | Primary |
Addresses
Primary practice location
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Mailing address
125 Metro Center Blvd Ste 2000
Warwick, RI 02886-1785
Phone (401) 432-2520
Other practice location 1
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00163389 | Other | RAILROAD MEDICARE | |
| 9003727 | Other | RI MEDICAL ASSISTANCE | |
| 003124245 | Other | CT MED ASSISTANCE | |
| AA22417 | Other | RIH PILGRIM | |
| 1988 | Other | NHPRI | |
| 0221464 | Other | CIGNA | |
| 2091186 | Medicaid | MA | |
| 411937 | Other | BLUE CHIP | |
| 9360456 | Other | PHHCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rhode Island Medical Imaging Inc
Practice addresses (Care Compare)
1 Kettle Point Ave
East Providence, RI 02914-5375
Phone (401) 626-3900
1301 Reservoir Ave
Cranston, RI 02920-6034
Phone (401) 921-9316
1500 Mineral Spring Ave
North Providence, RI 02904-3130
Phone (401) 921-9314
1525 Wampanoag TRL
Suite 101
Riverside, RI 02915-1038
Phone (401) 433-1166
200 High Service Ave
North Providence, RI 02904-5113
Phone (401) 456-3000
211 Park St
Attleboro, MA 02703-3143
Phone (508) 222-5200
250 Toll Gate Rd
Warwick, RI 02886-4411
Phone (401) 921-9315
333 School St
Suite 105
Pawtucket, RI 02860-5335
Phone (401) 728-3040
41 Sanderson Rd
Suite 109
Smithfield, RI 02917-2611
Phone (401) 921-9202
450 Veterans Memorial Pkwy
BLDG 2
East Providence, RI 02914-5300
Phone (401) 435-3041
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
481 Kingstown Rd
Wakefield, RI 02879-3626
Phone (401) 921-9202
65 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone (401) 921-9202
Hospital & facility affiliations
- Kent County Memorial Hospital
- Our Lady of Fatima Hospital
- Women & Infants Hospital of Rhode Island
- Sturdy Memorial Hospital
- Newport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.17 of 100
- Quality
- 82.44
- Improvement activities
- 40
- Cost
- 86.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11551 | RI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
| Rhode Island Medical Imaging Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200
20 Catamore Blvd
East Providence, RI 02914
Phone (401) 432-2520
593 Eddy St
Providence, RI 02903
1 Randall Sq
Providence, RI 02904
Phone (401) 272-5500
125 Metro Center Blvd
Ste 2000
Warwick, RI 02886
Phone (401) 432-2520
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Warwick, RI
- NPI 1205874930
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Newport, RI
- NPI 1457346413
-
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
-
- General Acute Care Hospital
- Providence, RI
- NPI 1447233788
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1124005871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2520",
"fax_number": "401-453-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 METRO CENTER BLVD STE 2000",
"city": "WARWICK",
"state": "RI",
"postal_code": "028861785",
"telephone_number": "401-432-2520",
"fax_number": "401-453-8220"
}
],
"practiceLocations": [
{
"address_1": "211 Park St",
"address_purpose": "LOCATION",
"city": "Attleboro",
"state": "MA",
"postal_code": "027033143",
"country_code": "US",
"telephone_number": "508-222-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALIL",
"first_name": "HANAN",
"middle_name": "IBRAHIM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "11551",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "261910",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "RI",
"license": "MD11551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00163389",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RI MEDICAL ASSISTANCE",
"identifier": "9003727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT MED ASSISTANCE",
"identifier": "003124245",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RIH PILGRIM",
"identifier": "AA22417",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHPRI",
"identifier": "1988",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0221464",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2091186",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "411937",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHHCS",
"identifier": "9360456",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.