Individual provider Active NPI

Hanan Khairalla, MD

  • Psychiatry Physician
  • Boston, MA
National Provider Identifier
1366862104
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
277009 Issued in MA
Practice address
143 Newbury St Ste 400
Boston, MA 02116-2954
Phone
(781) 354-1872
Fax
(430) 206-2273
NPI assigned
Apr 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA10189700 NJ
Psychiatry Physician 2084P0800X 277009 MA Primary

Addresses

Primary practice location

143 Newbury St Ste 400
Boston, MA 02116-2954

Mailing address

143 Newbury St
St 400
Boston, MA 02116-2925
Phone (781) 354-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 14, 2023 through Dec 14, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277009MAMDPsychiatry Physician
25MA10189700NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hanan Khairalla MD, LLC CurrentSince Feb 16, 2020 Accepting new patients

Locations

6 Church St
Hopkinton, MA 01748
Phone (508) 328-2443

290 Turnpike Rd
Ste 150370
Westborough, MA 01581

Organizations & group practices 1

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": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1366862104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 NEWBURY ST",
            "address_2": "ST 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162925",
            "telephone_number": "781-354-1872",
            "fax_number": "430-206-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NEWBURY ST STE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021162954",
            "telephone_number": "781-354-1872",
            "fax_number": "430-206-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIRALLA",
        "first_name": "HANAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA10189700",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "277009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.