Individual provider Active NPI

Hana Alkhaldi, M.D.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1295041937
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015-00888 Issued in NC
Practice address
4505 Fair Meadows LN Ste 101
Raleigh, NC 27607-6449
Phone
(919) 787-4000
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X R-9583 IA
Student in an Organized Health Care Education/Training Program 390200000X 125.058729 IL
Family Medicine Physician 207Q00000X 2015-00888 NC Primary

Addresses

Primary practice location

4505 Fair Meadows LN Ste 101
Raleigh, NC 27607-6449

Mailing address

107 Westongate Way
Cary, NC 27513-2974
Phone (919) 607-3148

Other practice location 1

1032 College St
Oxford, NC 27565-2507
Phone (919) 693-6541

Other practice location 2

2645 Meridian Pkwy Ste 323
Durham, NC 27713-4232
Phone (984) 227-8902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150626000272 NC Practitioner - Family Practice 4486892155 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00888NCMDFamily Medicine Physician
R-9583IAMDStudent in an Organized Health Care Education/Training Program
125.058729ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Baart Community Healthcare CurrentSince Jan 1, 2023 Accepting new patients
Southpoint Family Medicine, PLLC Family Medicine CurrentSince Jun 7, 2017 Accepting new patients
Granville Health System CurrentSince May 5, 2015 Accepting new patients
Granville Health System CurrentSince May 5, 2015 Accepting new patients
Southwest Durham Family Medicine, PLLC Family Medicine CurrentSince Jan 6, 2017 Accepting new patients
Granville Health System Current Accepting new patients

Locations

245 E NC Highway 54
Ste 205
Durham, NC 27713
Phone (919) 419-0242

110 Professional Park
Oxford, NC 27565
Phone (919) 693-6541

1032 College St
Oxford, NC 27565
Phone (919) 693-2141

Interoperability endpoints

  • Direct secure messaging: halkhaldi@landmarkhealth-direct.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFCAAA

Organizations & group practices 6

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1295041937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WESTONGATE WAY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132974",
            "telephone_number": "919-607-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076449",
            "telephone_number": "919-787-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 College St",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652507",
            "country_code": "US",
            "telephone_number": "919-693-6541",
            "fax_number": "919-693-7396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 Meridian Pkwy Ste 323",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277134232",
            "country_code": "US",
            "telephone_number": "984-227-8902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALKHALDI",
        "first_name": "HANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "R-9583",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125.058729",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2015-00888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.