Khalil B Dahdah, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0101057037 Issued in VA

Practice address

501 Butler Farm Rd
Ste. I
Hampton, VA 23666-1564

Phone

(757) 766-6080

Fax

(757) 766-6085

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khalil.dahdah.p99@direct.aac.nextgenshare.com
• Direct secure messaging: khalil.dahdah.p83@direct.aac.nextgenshare.com
• Direct secure messaging: khalil.dahdah.p19@direct.aac.nextgenshare.com
• Direct secure messaging: kdahdah63641@direct.acumenmd.com
• Direct secure messaging: khalil.dahdah.p18@direct.aac.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: khalil.dahdah.p21@direct.aac.nextgenshare.com
• Direct secure messaging: khalil.dahdah.p109@direct.aac.nextgenshare.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.

• Fort Wayne Vascular Care LLC

  dba Nephrology Associates of Northern Indiana PC

  • Ambulatory Surgical Clinic/Center
  • Fort Wayne, IN
  • NPI 1225684368

  Nephrology

  Medicare reassignment NPD
• Nephrology Associates of Northern Indiana, Inc

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1578505814
  Medicare reassignment NPD
• Peninsula Vascular Center, P.C.

  • Nephrology Physician
  • Hampton, VA
  • NPI 1093070781
  Authorized official Same address or phone
• Peninsula Kidney Associates PC

  • Nephrology Physician
  • Hampton, VA
  • NPI 1750436531
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1447356241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BUTLER FARM RD",
            "address_2": "STE. I",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661564",
            "telephone_number": "757-766-6080",
            "fax_number": "757-766-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BUTLER FARM RD",
            "address_2": "STE. I",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661564",
            "telephone_number": "757-766-6080",
            "fax_number": "757-766-6085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 Magnavox Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468041539",
            "country_code": "US",
            "telephone_number": "260-918-0997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHDAH",
        "first_name": "KHALIL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01090710A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101057037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5877466",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "120 W 22nd St",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kari Kathleen Cwiak, DMD
• Cynthia's Village Home and Healthcare Services, LLC
• Rachael Dabkowski, PHD
• Diann Mary Dacierno, OTR/L
• Alexis Daggett, OTR/L
• Lynn F Dahl, DO
• Curtis W. Dailey, D.D.S.
• George C Dailey, DDS
• Christine Kyle Daley, NP
• Dana L Bachtell M.D. PC

• Nephrology Physician in Hampton, VA
• Providers in Hampton, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.