Individual provider Active NPI

Michael Khalili, MD

  • Anesthesiology Physician
  • Hauppauge, NY
National Provider Identifier
1376920546
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
299725 Issued in NY
Practice address
125 Kennedy Dr Ste 300
Hauppauge, NY 11788-4025
Phone
(934) 223-4500
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A183520 CA
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 299725 NY
Anesthesiology Physician 207L00000X 299725 NY Primary

Addresses

Primary practice location

125 Kennedy Dr Ste 300
Hauppauge, NY 11788-4025

Mailing address

496 County Road 111 BLDG D
Manorville, NY 11949-3383
Phone (631) 405-3238

Other practice location 1

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone (631) 405-3238

Other practice location 2

31 Main Rd Ste 3
Riverhead, NY 11901-1953
Phone (631) 405-3238

Other practice location 3

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-1447

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mkhalili2@northwell.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200715002602 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 0345664959 Reassigns benefits to 1 organization
I20250122003246 CA Practitioner - AnesthesiologyPractitioner - Pain Management 0345664959 Reassigns benefits to 1 organization
I20250429001524 NY Practitioner - Anesthesiology 0345664959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A183520CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation Multi-Specialty CurrentSince Jan 6, 2025 Accepting new patients
Pain and Wellness Center Pain Medicine Current Accepting new patients
North Shore - Lij Anesthesiology, PC Multi-Specialty CurrentSince Mar 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation Multi-Specialty CurrentSince Jan 6, 2025 Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

444 S San Vicente Blvd
Ste 1101
Los Angeles, CA 90048
Phone (310) 423-9600

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
Ste SB290
West Hollywood, CA 90048
Phone (310) 423-1447

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

7 Southwoods Blvd
Ste 4
Albany, NY 12211

601 Suffolk Ave
Brentwood, NY 11717
Phone (631) 231-4384

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

125 Kennedy Dr
Ste 300
Hauppauge, NY 11788
Phone (934) 223-4500

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

1 Heroes Way
Riverhead, NY 11901
Phone (631) 548-6000

1500 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 205-0800

Interoperability endpoints

  • Direct secure messaging: mkhalili2@northwell.edu

Organizations & group practices 5

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1376920546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 COUNTY ROAD 111 BLDG D",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493383",
            "telephone_number": "631-405-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KENNEDY DR STE 300",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884025",
            "telephone_number": "934-223-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Roanoke Ave",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119012031",
            "country_code": "US",
            "telephone_number": "631-405-3238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Main Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Riverhead",
            "state": "NY",
            "postal_code": "119011953",
            "country_code": "US",
            "telephone_number": "631-405-3238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A183520",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "299725",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "299725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mkhalili2@northwell.edu",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 Roanoke Ave",
            "city": "Riverhead",
            "state": "NY",
            "country_code": "US",
            "postal_code": "119012031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.