Individual provider Active NPI

Bibi Khadija, PA-C

  • Medical Physician Assistant
  • Chestnut Hill, MA
National Provider Identifier
1457738874
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA5282 Issued in MA
Practice address
27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747
Phone
(617) 731-3400
Fax
(617) 566-2224
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA5282 MA Primary

Addresses

Primary practice location

27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747

Mailing address

27 Boylston St Ste 320
Chestnut Hill, MA 02467-1747
Phone (617) 731-3400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Khadija.Bibi.NEOBGYN@direct.partners.masshiway.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925001699 MA Practitioner - Physician Assistant 1557679461 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr IncGroup PAC ID 4486567104, shared by 12 NPIs, 1,693 clinicians

Practice addresses (Care Compare)

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

Hospital & facility affiliations

  • Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5282MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jun 7, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jun 7, 2024 Accepting new patients
Cambridge Public Health Commission CurrentSince Jul 16, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 1, 2025 Accepting new patients
Cambridge Public Health Commission CurrentSince Jul 16, 2015 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Brookline Ave
#407
Boston, MA 02215

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

200 Boylston St
Ste 301
Chestnut Hill, MA 02467
Phone (617) 467-6696

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

Interoperability endpoints

  • Direct secure messaging: bkhadija441353@direct.bilh.masshiway.net
  • Direct secure messaging: khadija.bibi.neobgyn@direct.partners.masshiway.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1457738874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BOYLSTON ST STE 320",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671747",
            "telephone_number": "617-731-3400",
            "fax_number": "617-566-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BOYLSTON ST STE 320",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671747",
            "telephone_number": "617-731-3400",
            "fax_number": "617-566-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADIJA",
        "first_name": "BIBI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA5282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Khadija.Bibi.NEOBGYN@direct.partners.masshiway.net",
            "affiliation": "N",
            "endpointDescription": "New England OB GYN Associates",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIT",
            "address_1": "200 Boylston St Ste 301",
            "city": "Chestnut Hill",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024672008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.