Active NPI
Ali Khairat, M.D.
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20975
- Practice address
- 234 East 149TH Street, 2C2 Room 445a
Department of Emergency Medicine,
New York, NY 10451 - Phone
- (718) 579-6011
- Fax
- (718) 579-4822
- NPI assigned
- Apr 28, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 20975 | NH | Primary |
Addresses
Primary practice location
234 East 149TH Street, 2C2 Room 445a
Department of Emergency Medicine,
New York, NY 10451
Mailing address
234 East 149TH Street, 2C2 Room 445a
Department of Emergency Medicine,
New York, NY 10451
Phone (718) 579-6011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4205 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 782-7780
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Hospital Medicine Services of NH, LLC | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Northwest Observation Associates PC | Current | Accepting new patients | |
| Northwest Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Franciscan Medical Group | Emergency Medicine | Current | Accepting new patients |
Locations
1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220
4205 Kitsap Way
Bremerton, WA 98312
Phone (360) 782-7780
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Hospitalist Physician
- Derry, NH
- NPI 1548967607
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Internal Medicine Physician
- Federal Way, WA
- NPI 1023539376
-
- Emergency Medicine Physician
- Bremerton, WA
- NPI 1316756067
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1619402567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 EAST 149TH STREET, 2C2 ROOM 445A",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE,",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10451",
"telephone_number": "718-579-6011",
"fax_number": "718-579-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 EAST 149TH STREET, 2C2 ROOM 445A",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE,",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10451",
"telephone_number": "718-579-6011",
"fax_number": "718-579-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAIRAT",
"first_name": "ALI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-28",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "20975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.