Mhmtjamil Alkhalaf, MD
Individual provider Active NPI Family Medicine Physician · Lancaster, OH
NPI 1407429574 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1407429574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35.151587 (OH)
- Practice address
- 401 N Ewing St
Lancaster, OH 43130-3372 - Phone
- (614) 663-4550
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Incare Health Solutions LLC
Practice addresses (Care Compare)
5801 Tamarack Blvd
Columbus, OH 43229-3747
Phone (614) 436-6009
Hospital & facility affiliations
- Fairfield Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916000990 | OH | Practitioner - Family Practice | 9931569506 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.151587 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incare Health Solutions LLC | Current |
Accepting new patients | |
| Incare Health Solutions, LLC | Current |
Accepting new patients |
Locations
5801 Tamarack Blvd
Columbus, OH 43229
Phone (614) 436-6009
1085 Polaris Pkwy
Columbus, OH 43240
Phone (614) 505-0021
6547 Artesian Run
Ste 200
Delaware, OH 43015
Phone (740) 417-8037
401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008
Interoperability endpoints
- mhmtjamil.alkhalaf.p10@direct.fchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.151587 | OH | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
401 N Ewing St
Lancaster, OH 43130-3372
Mailing address
401 N Ewing St
Lancaster, OH 43130-3372
Other providers in Lancaster, OH
- Melissa Aitken
- Bella Busra Akkaya
- Nawal Al-Nouri
- Kathryn Marcille Albertson
- Olivia Alexander
- Bayley Nicole Allen
- Monica Jade Allen
- Sarah J. Alley
- Courtney J Alrousan
- Tina Louise Alrousan
All providers in Lancaster, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.