Individual provider Active NPI

Kahlil Jihad Andrews, MD

  • Plastic and Reconstructive Surgery Physician
  • Coralville, IA
National Provider Identifier
1144427311
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
40599 Issued in IA
Practice address
1100 5TH St Ste 210
Coralville, IA 52241-2934
Phone
(319) 450-7619
Fax
(319) 382-2475
NPI assigned
Jun 29, 2007
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 036123411 IL
Plastic and Reconstructive Surgery Physician 2086S0122X 40599 IA Primary

Addresses

Primary practice location

1100 5TH St Ste 210
Coralville, IA 52241-2934

Mailing address

1100 5TH St Ste 210
Coralville, IA 52241-2934
Phone (319) 450-7619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20121018000671 IA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 5799830139 Practice locations: Coralville, IA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
University of California, San Francisco School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 5TH St
Suite 210
Coralville, IA 52241-2934
Phone (319) 450-7619

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40599IAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kahlil Andrews MD Plastic and Reconstructive Surgery PastSince Jan 1, 2018 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Corridor Surgery Center PastSince Dec 18, 2018 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1144427311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 5TH ST STE 210",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412934",
            "telephone_number": "319-450-7619",
            "fax_number": "319-382-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 5TH ST STE 210",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412934",
            "telephone_number": "319-450-7619",
            "fax_number": "319-382-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "KAHLIL",
        "middle_name": "JIHAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036123411",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IA",
            "license": "40599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.