NPIMap

Organization Active NPI

Khalaf & Khalaf Imaging LLP

  • Diagnostic Radiology Physician
  • Punxsutawney, PA
National Provider Identifier
1437499233
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD439365 Issued in PA
Legal business name
KHALAF & KHALAF IMAGING LLP
Practice address
81 Hillcrest Dr
Punxsutawney, PA 15767-2605
Phone
(814) 938-1836
Fax
(814) 938-1834
NPI assigned
Feb 15, 2013
Last updated
Feb 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Dr. Kamal Khalaf, MDNPI 1568468031
Title
Partner/.Owner
Phone
(814) 938-8051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD038962L PA
Diagnostic Radiology Physician 2085R0202X MD439365 PA Primary

Addresses

Primary practice location

81 Hillcrest Dr
Punxsutawney, PA 15767-2605

Mailing address

124 Aspen Rd
Punxsutawney, PA 15767-2658
Phone (814) 938-8051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130625000064 PA Part B Supplier - Clinic/Group Practice 3971742982 Receives reassigned benefits from 9 practitioners
Practice locations: Punxsutawney, PA

National Provider Directory

National Provider Directory

Locations

124 Aspen Rd
Punxsutawney, PA 15767

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1437499233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ASPEN RD",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672658",
            "telephone_number": "814-938-8051",
            "fax_number": "814-938-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HILLCREST DR",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672605",
            "telephone_number": "814-938-1836",
            "fax_number": "814-938-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHALAF & KHALAF IMAGING LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "KHALAF",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "PARTNER/.OWNER",
        "authorized_official_telephone_number": "814-938-8051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD038962L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD439365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.