Michael Khalili, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

49877 Issued in TN

Practice address

1504 Bay Rd
Apartment 704
Miami Beach, FL 33139-3399

Phone

(305) 401-4157

NPI assigned

Feb 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, CA, NJ3 enrollments

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 3

Specialty

Diagnostic Radiology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Healthcare LLCGroup PAC ID 3870939614, 22 clinicians

Mountain Communities Healthcare DistrictGroup PAC ID 9133227135, shared by 4 NPIs, 34 clinicians

KC Tan MD Medical CorporationGroup PAC ID 2062719719, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
• Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
• San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132
• Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: michael.khalili.p1@direct.wcchc.nextgenshare.com

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.

• Pinnacle Healthcare LLC

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1457125288

  NY

  Medicare reassignment Care Compare group NPD
• KC Tan, M.D. Medical Corporation

  • Neuroradiology Physician
  • Monterey Park, CA
  • NPI 1215394036

  NY

  Medicare reassignment Care Compare group
• Cambria Somerset Radiology & Nuclear Medicine Group, Inc.

  • Diagnostic Radiology Physician
  • Johnstown, PA
  • NPI 1730107590

  NY

  Medicare reassignment NPD
• Capital Health Multispecialty Group

  • Surgery Physician
  • Trenton, NJ
  • NPI 1083072342

  Diagnostic Radiology

  Medicare reassignment NPD
• Capital Imaging Associates

  • Diagnostic Radiology Physician
  • Cohoes, NY
  • NPI 1093794513
  Medicare reassignment NPD
• County of Santa Clara

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1588721500

  Family Medicine

  Medicare reassignment NPD
• County of Santa Clara

  • Federally Qualified Health Center (FQHC)
  • San Jose, CA
  • NPI 1629301346
  Medicare reassignment NPD
• County of Santa Clara

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Weaverville, CA
  • NPI 1407027568
  Medicare reassignment NPD
• Mountain Communities Healthcare District

  • Critical Access Hospital
  • Weaverville, CA
  • NPI 1750462271
  Medicare reassignment NPD
• Ulster Radiologic Associates, PC

  • Radiology Clinic/Center
  • Kingston, NY
  • NPI 1326083239
  Medicare reassignment NPD
• Empire State Radiology P C

  • Diagnostic Radiology Physician
  • West Islip, NY
  • NPI 1255962783
  Medicare reassignment

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

• Ahmc Garfield Medical Center LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1730171265
  Care Compare affiliation
• Ahmc San Gabriel Valley Medical

  • General Acute Care Hospital
  • San Gabriel, CA
  • NPI 1275720377
  Care Compare affiliation
• Alhambra Hospital Medical Center, LP

  • General Acute Care Hospital
  • Alhambra, CA
  • NPI 1770612756
  Care Compare affiliation
• Alta Los Angeles Hospital, Inc

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114132685

  Hospital

  Care Compare affiliation
• Alta Los Angeles Hospitals, Inc.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922001809
  Care Compare affiliation
• Southern California Healthcare System, Inc

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1144593005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 RYKOWSKI LN STE 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414055",
            "telephone_number": "845-692-0030",
            "fax_number": "845-692-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 BAY RD",
            "address_2": "APARTMENT 704",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393399",
            "telephone_number": "305-401-4157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-692-0030",
            "fax_number": "845-692-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME103684",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "49877",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "266708-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA10329200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03558050",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkhalili@hvi.medinformatixdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "185 Rykowski Ln Ste 101",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109414055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mathew Kessler, DC
• Rachel Hannah Kessler, DO
• Michael Keyes, M.D.
• Nathan Khabyeh-Hasbani, MD
• Jeffrey Khachatryan
• Mohammad Hassan Khazai, M.D.
• Kandace Marisa Kichler, MD
• Kidney Partners Miami Beach, LLC
• Kidney Specialty Center, Inc.
• Paul Cecil Kilrain

• Diagnostic Radiology Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.

Verify at the official NPI Registry.