Khalil A Raffoul, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35070799 Issued in OH

Practice address

1000 Regency CT
Ste 100
Toledo, OH 43623-3074

Phone

(419) 882-0588

Fax

(419) 885-3070

NPI assigned

Jun 14, 2005

Last updated

Apr 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Ophthalmology

Education

University of Michigan Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Eye Care IncGroup PAC ID 0547201444, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kraffoul@associatedeye.imwdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Eye Care Inc

  dba Optical Illusion

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1720155534
  Medicare reassignment Care Compare group NPD
• Mercy Medical Partners Northern Region LLC

  dba Mercy Health Physicians - Defiance Clinic

  • Multi-Specialty Clinic/Center
  • Defiance, OH
  • NPI 1669756532
  Medicare reassignment NPD
• Mercy Medical Partners Northern Region Specialty Care LLC

  • Surgery Physician
  • Defiance, OH
  • NPI 1730701749
  Medicare reassignment NPD
• Mercy Medical Partners Northern Region LLC

  dba Mercy Health - Napoleon Clinic

  • Durable Medical Equipment & Medical Supplies
  • Napoleon, OH
  • NPI 1710405808
  NPD
• Mercy Medical Partners Northern Region Specialty Care LLC

  • Customized Equipment (DME)
  • Defiance, OH
  • NPI 1043972482
  NPD
• Retina Vitreous Associates Inc

  • Retina Specialist (Ophthalmology) Physician
  • Toledo, OH
  • NPI 1922073030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1407851736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REGENCY CT",
            "address_2": "STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233074",
            "telephone_number": "419-882-0588",
            "fax_number": "419-885-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REGENCY CT",
            "address_2": "STE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233074",
            "telephone_number": "419-882-0588",
            "fax_number": "419-885-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFOUL",
        "first_name": "KHALIL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35070799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000127266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004651135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1427801",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0297450",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180027814",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kraffoul@associatedeye.imwdirect.com",
            "affiliation": "N",
            "address_1": "1000 Regency Ct",
            "address_2": "Ste 100",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436233074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Duncan Radtkin, EX. DIRECTOR
• Kevin Raduege, MD
• Kristi Marie Radwan, CRNA
• Brooklynn Ann Rady, LSW
• Rae-Lyn Fobbs
• Luke Ragan, M.D.
• Latrice Sharmaine Nicole Ragans
• Ashwin Raghavan
• Julia D Ragheb, MD
• Jameelah Kenee Ragland, CNP

• Ophthalmology Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.

Verify at the official NPI Registry.