John Michael Nessim Khalil, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

48424 Issued in WI

Practice address

1 S Park St
Madison, WI 53715-1375

Phone

(608) 417-6090

Fax

(608) 417-7959

NPI assigned

Dec 20, 2007

Last updated

Dec 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Diagnostic Radiology

Education

University of Wisconsin School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

University of Wisconsin System Non PayrollGroup PAC ID 9133024888, 111 clinicians

Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians

Richland HospitalGroup PAC ID 7618861618, 69 clinicians

Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089
• Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071
• Mile Bluff Medical Center Hospital, Mauston, WI, CCN 520109
• University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
• Richland Hospital Hospital, Richland Center, WI, CCN 521341

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
• Direct secure messaging: jkhalil426769@direct.uwhealth.org

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 Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Group Health Cooperative of South Central Wisconsin

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1245260165
  Medicare reassignment Care Compare group NPD
• Richland Hospital

  • Critical Access Hospital
  • Richland Center, WI
  • NPI 1659301273
  Medicare reassignment Care Compare group NPD
• University of Wisconsin Medical Foundation, Inc

  • Multi-Specialty Clinic/Center
  • Middleton, WI
  • NPI 1598784555
  Medicare reassignment Care Compare group NPD
• University of Wisconsin System Non Payroll

  dba UW Health

  • Multi-Specialty Clinic/Center
  • Madison, WI
  • NPI 1346266319
  Medicare reassignment Care Compare group NPD
• Fort Healthcare Inc

  • Rural Health Clinic/Center
  • Fort Atkinson, WI
  • NPI 1417450115

  Family Medicine

  NPD
• Richland Hospital

  dba Community Pharmacy at The Richland Hospital

  • Community/Retail Pharmacy
  • Richland Center, WI
  • NPI 1558127480
  NPD
• University of Wisconsin Medical Foundation, Inc

  • Health Educator
  • Madison, WI
  • NPI 1487414082
  NPD
• University of Wisconsin System Non Payroll

  dba Waisman Center TIES Clinic

  • Adult Mental Health Clinic/Center
  • Madison, WI
  • NPI 1184746828
  NPD
• Tennessee Advanced Neurodiagnostic Institute, Inc. (Tanii)

  dba 3T Neuroimaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Nashville, TN
  • NPI 1750387635
  NPD (past)
• Tuhc Radiology Group LLC

  • Diagnostic Radiology Physician
  • Metairie, LA
  • NPI 1710029673
  NPD (past)
• Vanderbilt St. Thomas Imaging, GP

  dba Belle Meade Imaging

  • Diagnostic Radiology Physician
  • Nashville, TN
  • NPI 1902989445
  NPD (past)

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

• Fort Healthcare Inc

  • Otolaryngology Physician
  • Fort Atkinson, WI
  • NPI 1417993361

  Hospital

  Care Compare affiliation
• Fort Healthcare, Inc.

  • General Acute Care Hospital
  • Fort Atkinson, WI
  • NPI 1811916281
  Care Compare affiliation
• Meriter Hospital, Inc.

  dba UnityPoint Health - Meriter Therapies

  • Rehabilitation Clinic/Center
  • Madison, WI
  • NPI 1073672556

  Hospital

  Care Compare affiliation
• Meriter Hospital, Inc.

  dba UnityPoint Health - Meriter

  • General Acute Care Hospital
  • Madison, WI
  • NPI 1114920048
  Care Compare affiliation
• Mile Bluff Medical Center Inc

  dba Mile Bluff Urgent Care

  • Urgent Care Clinic/Center
  • Mauston, WI
  • NPI 1437958683

  Hospital

  Care Compare affiliation
• Mile Bluff Medical Center Inc

  dba Mile Bluff Hospital

  • General Acute Care Hospital
  • Mauston, WI
  • NPI 1568487411
  Care Compare affiliation
• Richland Hospital

  • Critical Access Hospital
  • Richland Center, WI
  • NPI 1659301273
  Care Compare affiliation
• University of Wisconsin Hospitals and Clinics Authority

  dba University of Wisconsin Hospital and Clinics

  • General Acute Care Hospital
  • Madison, WI
  • NPI 1922043744
  Care Compare affiliation

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1588848923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151375",
            "telephone_number": "608-417-6090",
            "fax_number": "608-417-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "JOHN MICHAEL",
        "middle_name": "NESSIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-20",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "48424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkhalil426769@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "1 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Keys, MSSW
• William Keys
• Camille Ann Kezer, MD
• Ulyana Khaba
• Akram Khaja, MD
• Mujtaba Khalil, MD
• Samy Khalil
• Wagdy A Khalil
• Aahad Nawaz Khan, MD
• Farhat A Khan, MD

• Diagnostic Radiology Physician in Madison, WI
• Providers in Madison, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.