Individual provider Active NPI

Adeeb Khalifeh, MD

  • Maternal & Fetal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1447563192
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD451481 Issued in PA
Practice address
5501 Old York Rd Ste 3
Philadelphia, PA 19141-3018
Phone
(215) 456-7180
Fax
(215) 456-7052
NPI assigned
Jul 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD451481 PA
Maternal & Fetal Medicine Physician 207VM0101X MD451481 PA Primary

Addresses

Primary practice location

5501 Old York Rd Ste 3
Philadelphia, PA 19141-3018

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470
Phone (215) 456-1825

Other practice location 1

833 Chestnut Street
1st Floor
Philadelphia, PA 19107-4420
Phone (215) 955-5000

Other identifiers 1

IdentifierTypeStateIssuer
1030161140002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150604000423 PA Practitioner - Obstetrics/Gynecology 5193940575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 18, 2024 Accepting new patients
Einstein Practice Plan, Inc CurrentSince Jul 3, 2017 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 18, 2024 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 3, 2017 Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients
Albert Einstein Medical Center Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

1111 Franklin St
Ste 230
Johnstown, PA 15905
Phone (814) 262-7980

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

5501 York Rd
Philadelphia, PA 19141
Phone (215) 456-7405

5401 Old York Rd
Ste 4
Philadelphia, PA 19141
Phone (215) 456-6990

101 E Olney Ave
Ste 400
Philadelphia, PA 19120
Phone (215) 254-2630

5501 York Rd
Ste 1
Philadelphia, PA 19141
Phone (215) 456-6500

7201 Rising Sun Ave
Philadelphia, PA 19111
Phone (215) 722-8105

5401 Old York Rd
Ste 410
Philadelphia, PA 19141
Phone (215) 456-6990

Interoperability endpoints

  • Direct secure messaging: akhalifeh52309@direct.conemaugh.org
  • Direct secure messaging: adeeb.khalifeh@direct.einstein.edu

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1447563192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OLNEY AVE STE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202470",
            "telephone_number": "215-456-1825",
            "fax_number": "215-456-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD STE 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7180",
            "fax_number": "215-456-7052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Chestnut Street",
            "address_2": "1st Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074420",
            "country_code": "US",
            "telephone_number": "215-955-5000",
            "fax_number": "215-923-1089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIFEH",
        "first_name": "ADEEB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD451481",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD451481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030161140002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.