Individual provider Active NPI

Khalid Yusuf Yaseen Alkirwi

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1437866183
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
36444 Issued in FL
Practice address
7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701
Phone
(305) 326-6312
Fax
(305) 326-6580
NPI assigned
Nov 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 36444 FL Primary

Addresses

Primary practice location

7101 Fairway Dr
Palm Beach Gardens, FL 33418-3701

Mailing address

1233 Elm Lawn St
Wauwatosa, WI 53213-2517
Phone (650) 353-6303

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250107002651 IL Order and Referring Only - OphthalmologyPractitioner - Ophthalmology 6507394392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36444FLMDOphthalmology Physician

Interoperability endpoints

  • Direct secure messaging: kalkirwi116695@direct.med.miami.edu

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1437866183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 ELM LAWN ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132517",
            "telephone_number": "650-353-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 FAIRWAY DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183701",
            "telephone_number": "305-326-6312",
            "fax_number": "305-326-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALKIRWI",
        "first_name": "KHALID",
        "middle_name": "YUSUF YASEEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "36444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.