Active NPI
Sally Khalifa, D.O.
- Family Medicine Physician
- Dearborn Heights, MI
National Provider Identifier
1427430487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101021804
- Practice address
- 22350 Ford Rd
Dearborn Heights, MI 48127-2421 - Phone
- (313) 406-2410
- Fax
- (313) 406-6484
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101021804 | MI | Primary |
Addresses
Primary practice location
22350 Ford Rd
Dearborn Heights, MI 48127-2421
Mailing address
22350 Ford Rd
Dearborn Heights, MI 48127-2421
Phone (313) 406-2410
Other practice location 1
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-4486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22350 Ford Rd
Dearborn Heights, MI 48127-2421
Phone (313) 406-2410
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Dearborn
- Beaumont Hospital, Troy
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heights Family Medicine Clinic PLLC | Family Medicine | Current | Accepting new patients |
Locations
22350 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 278-2788
Interoperability endpoints
- sally.khalifa.1@19805.direct.athenahealth.com
- https://api.platform.athenahealth.com/19805/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Dearborn Heights, MI
- NPI 1285198291
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1427430487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22350 FORD RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272421",
"telephone_number": "313-406-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22350 FORD RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481272421",
"telephone_number": "313-406-2410",
"fax_number": "313-406-6484"
}
],
"practiceLocations": [
{
"address_1": "6245 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481354001",
"country_code": "US",
"telephone_number": "734-458-4486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALIFA",
"first_name": "SALLY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101021804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.