Active NPI
Robert Khalil, MD
- Child & Adolescent Psychiatry Physician
- Danbury, CT
National Provider Identifier
1205083359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 042539
- Practice address
- 7 Old Sherman Tpke Ste 102
Danbury, CT 06810-4174 - Phone
- (646) 455-1900
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 42539 | CT | |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | 261467 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 042539 | CT | Primary |
Addresses
Primary practice location
7 Old Sherman Tpke Ste 102
Danbury, CT 06810-4174
Mailing address
PO Box 602
65 Redding Rd
Georgetown, CT 06829-0602
Phone (646) 455-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42539 | CT | MD | Behavioral Neurology & Neuropsychiatry Physician |
| 261467 | NY | MD | Behavioral Neurology & Neuropsychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W Backus Hospital | Current | Accepting new patients | |
| The William W Backus Hospital | Current | Accepting new patients | |
| Windham Community Memorial Hospital, Inc. | Current | Accepting new patients |
Locations
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
Interoperability endpoints
- robert.khalil@xdr.hhchealthdirect.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Willimantic, CT
- NPI 1023191467
-
- Psychiatric Hospital
- Mansfield Center, CT
- NPI 1295811321
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1205083359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602",
"address_2": "65 REDDING RD",
"city": "GEORGETOWN",
"state": "CT",
"postal_code": "068290602",
"telephone_number": "646-455-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 OLD SHERMAN TPKE STE 102",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104174",
"telephone_number": "646-455-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-20",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "CT",
"license": "42539",
"primary": false
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "NY",
"license": "261467",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CT",
"license": "042539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.