Active NPI
Ahmed A Khalafallah, MD
- Internal Medicine Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036087228
- Practice address
- 600 John Deere Road
Suite 200
Moline, IL 61265-6897 - Phone
- (309) 779-4200
- Fax
- (309) 779-4305
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036087228 | IL | Primary |
Addresses
Primary practice location
600 John Deere Road
Suite 200
Moline, IL 61265-6897
Mailing address
600 John Deere Road
Suite 200
Moline, IL 61265-6897
Phone (309) 779-4200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036087228 | Medicaid | IL | |
| 010065270 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061205000388 | IL | Practitioner - Internal Medicine | 6800791815 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 62.74 of 100
- Quality
- 78.19
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 80.95
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Internal Medicine | Current | Accepting new patients |
| Medical Arts Associates, LTD. | Internal Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
352 John Deere Rd
Moline, IL 61265
Phone (309) 779-7500
600 John Deere Rd
Ste 200
Moline, IL 61265
Phone (309) 779-4200
2545 24th St
Rock Island, IL 61201
Phone (309) 788-0458
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- akhalafallah92305@direct.unitypoint.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Moline, IL
- NPI 1396724183
IL, Internal Medicine
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
IL, Internal Medicine
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1366412934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JOHN DEERE ROAD",
"address_2": "SUITE 200",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656897",
"telephone_number": "309-779-4200",
"fax_number": "309-779-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JOHN DEERE ROAD",
"address_2": "SUITE 200",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656897",
"telephone_number": "309-779-4200",
"fax_number": "309-779-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALAFALLAH",
"first_name": "AHMED",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036087228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036087228",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "010065270",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.