Individual provider Active NPI

Hani Issa Khalil, N.P.

  • Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1285695486
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F400927-1 Issued in NY
Practice address
230 North Rd
Poughkeepsie, NY 12601-1328
Phone
(845) 486-2703
Fax
(845) 486-2865
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 484095-1 NY
Nurse Practitioner 363L00000X F400927-1 NY Primary

Addresses

Primary practice location

230 North Rd
Poughkeepsie, NY 12601-1328

Mailing address

230 North Rd
Poughkeepsie, NY 12601-1328
Phone (845) 486-2703

Other identifiers 2

IdentifierTypeStateIssuer
484095-1OtherNYREGISTERED PROF. NURSE
F400927-1OtherNYN.P. IN PSYCHIATRY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061229000435 NY Practitioner - Nurse Practitioner 9133129968 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nysarc Inc Sullivan County ChapterGroup PAC ID 2668473729, 21 clinicians
Spectrum Behavioral Management Services IncGroup PAC ID 5890684633, 2 clinicians
Spectrum Psychiatry, PCGroup PAC ID 9830367655, 9 clinicians

Practice addresses (Care Compare)

162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350

20 Davis Ave
Poughkeepsie, NY 12603-2408
Phone (845) 485-3500

514 Haight Ave
Poughkeepsie, NY 12603-2464
Phone (845) 485-3500

Merit-based Incentive Payment System (MIPS)

Final score
23.66 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
484095-1NYMDPsychiatric/Mental Health Registered Nurse
F400927-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Sullivan County Chapter CurrentSince Jan 1, 2021 Accepting new patients
Spectrum Psychiatry, PC CurrentSince Jun 28, 2011 Accepting new patients
Spectrum Behavioral Management Services, Inc. CurrentSince Sep 1, 2006 Accepting new patients

Locations

230 Aaron Ct
Kingston, NY 12401
Phone (845) 331-1079

162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350

1435 Route 44
Pleasant Vly, NY 12569
Phone (845) 635-8084

20 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 485-3500

8 Industry St
Poughkeepsie, NY 12603
Phone (845) 471-8876

514 Haight Ave
Poughkeepsie, NY 12603
Phone (845) 485-3500

510 Haight Ave
Ste 102
Poughkeepsie, NY 12603
Phone (845) 485-3500

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285695486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011328",
            "telephone_number": "845-486-2703",
            "fax_number": "845-486-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NORTH RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011328",
            "telephone_number": "845-486-2703",
            "fax_number": "845-486-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "HANI",
        "middle_name": "ISSA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "484095-1",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F400927-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROF. NURSE",
            "identifier": "484095-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.P. IN PSYCHIATRY",
            "identifier": "F400927-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.