NPIMap

Organization Active NPI

Dr. Khalafi, MD, LLC

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1417037664
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35074605K Issued in OH
Legal business name
DR. KHALAFI, MD, LLC
Practice address
4200 Warrensville Center Rd
Suite 430
Beachwood, OH 44122-7051
Phone
(216) 491-7660
Fax
(216) 491-7662
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Authorized official

Name
Dr. Kamal Khalafi, MD
Title
Owner
Phone
(216) 491-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35074605K OH Primary

Addresses

Primary practice location

4200 Warrensville Center Rd
Suite 430
Beachwood, OH 44122-7051

Mailing address

P.O. Box 391405
Solon, OH 44139
Phone (216) 491-7660

Other identifiers 1

IdentifierTypeStateIssuer
2718410MedicaidOH

National Provider Directory

National Provider Directory

Locations

4180 Warrensville Center Rd
#120A
Beachwood, OH 44122
Phone (216) 491-7660

4200 Warrensville Center Rd
Ste 210
Warrensville Heights, OH 44122
Phone (216) 491-7205

4180 Warrensville Center Rd
#120
Warrensville Heights, OH 44122
Phone (216) 491-7660

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1417037664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 391405",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "44139",
            "telephone_number": "216-491-7660",
            "fax_number": "216-491-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 430",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "216-491-7660",
            "fax_number": "216-491-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KHALAFI, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "KHALAFI",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-491-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35074605K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2718410",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.