NPIMap

Individual provider Active NPI

Hamdi Mansour Khilfeh, M.D.

  • Internal Medicine Physician
  • Evergreen Park, IL
National Provider Identifier
1558477661
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
110790 Issued in IL
Practice address
2955 W. 95TH St
Evergreen Park, IL 60805-2004
Phone
(708) 422-1363
Fax
(708) 422-1256
NPI assigned
Aug 22, 2006
Last updated
Mar 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 110790 IL Primary

Addresses

Primary practice location

2955 W. 95TH St
Evergreen Park, IL 60805-2004

Mailing address

2955 W. 95TH St
Evergreen Park, IL 60805-2004
Phone (708) 422-1363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000070 IL Practitioner - Internal MedicinePractitioner - Family Practice 9537118997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maya Medical Centers SCGroup PAC ID 6204986912, 3 clinicians
Southwest Physicians Associates, S. C.Group PAC ID 2466672001, 5 clinicians

Practice addresses (Care Compare)

2955 W 95TH St
Evergreen Park, IL 60805-2409
Phone (708) 422-1363

6300 159TH St
Suite C
Oak Forest, IL 60452-2779
Phone (708) 535-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110790ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maya Medical Centers SC CurrentSince Jun 17, 2009 Accepting new patients
Southwest Physicians Associates, S. C. CurrentSince Jul 1, 2014 Accepting new patients
Hama Medical Group LTD Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Southwest Urgent Care LTD Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2955 W 95th St
Evergreen Pk, IL 60805
Phone (708) 422-0022

6300 159th St
Ste C
Oak Forest, IL 60452
Phone (708) 535-3300

Interoperability endpoints

  • Direct secure messaging: hkhilfeh278492@direct.myadvocateaurora.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BEHJCA/Endpoint/BEHJCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGBEAD/Endpoint/GGBEAD

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Burbank Rehabilitation Center LLCBurbank, IL, CCN 145211 Skilled nursing facility Adp of the SNF Nov 1, 2024
Aliya on 87TH StreetChicago, IL, CCN 145983 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2023
Jun 1, 2023
Aliya of Oak LawnOak Lawn, IL, CCN 145087 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 12, 2024
Apr 12, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1558477661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 W. 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "708-422-1363",
            "fax_number": "708-422-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 W. 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052004",
            "telephone_number": "708-422-1363",
            "fax_number": "708-422-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHILFEH",
        "first_name": "HAMDI",
        "middle_name": "MANSOUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "110790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.