Individual provider Active NPI

Mohammad Fayez Khalil, DPM

  • Foot & Ankle Surgery Podiatrist
  • Southfield, MI
National Provider Identifier
1164460481
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002133 Issued in MI
Practice address
20905 Greenfield Rd
Southfield, MI 48075-5360
Phone
(248) 423-4220
Fax
(248) 423-4221
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002133 MI Primary

Addresses

Primary practice location

20905 Greenfield Rd
Southfield, MI 48075-5360

Mailing address

1628 Ford Ave
Wyandotte, MI 48192-2304
Phone (734) 284-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000872 MI Practitioner - Podiatry 8022033851 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates Clinic PLLCGroup PAC ID 0749663797, 7 clinicians
Foot and Ankle Associates in Patient PLLCGroup PAC ID 2668855727, 7 clinicians
Khalil and Usen DPM PCGroup PAC ID 8820009996, 4 clinicians

Practice addresses (Care Compare)

1628 Ford Ave
Wyandotte, MI 48192-2304
Phone (734) 284-1333

Hospital & facility affiliations

  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue185
Removal of skin lesions1-10
Removal of nail tissue141
Removal or shaving of skin growth49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002133MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates Clinic PLLC Foot & Ankle Surgery CurrentSince Jul 25, 2022 Accepting new patients
Foot and Ankle Associates in Patient PLLC Foot & Ankle Surgery CurrentSince Jul 25, 2022 Accepting new patients
Khalil & Usen DPM, PC Foot & Ankle Surgery CurrentSince Jan 11, 2006 Accepting new patients
Foot and Ankle Associates Home Visits PLLC Foot & Ankle Surgery CurrentSince Jul 25, 2022 Accepting new patients
Foot and Ankle Associates NH Care PLLC Foot & Ankle Surgery CurrentSince Jul 25, 2022 Accepting new patients
Grand Blanc Footcare Specialists, P.L.L.C. Foot & Ankle Surgery Past Accepting new patients
Grand Blanc Family Footcare, P.C. Foot & Ankle Surgery PastSince Jan 1, 2007 Accepting new patients
Khalil and Usen DPM PC II Foot & Ankle Surgery PastSince Dec 1, 2007 Accepting new patients

Locations

6071 W Outer Dr
#3
Detroit, MI 48235
Phone (313) 540-4430

20770 Greenfield Rd
Ste 100A
Oak Park, MI 48237

23077 Greenfield Rd
Ste 255
Southfield, MI 48075
Phone (248) 559-5200

24566 Southfield Rd
Southfield, MI 48075
Phone (248) 423-4220

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

1628 Ford Ave
Wyandotte, MI 48192
Phone (734) 284-1311

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14776/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mkhalil@ffaas-mi.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mkhalil60045@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1164460481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922304",
            "telephone_number": "734-284-1333",
            "fax_number": "734-284-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755360",
            "telephone_number": "248-423-4220",
            "fax_number": "248-423-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "MOHAMMAD",
        "middle_name": "FAYEZ",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.