Khalil Rayhan Ali, MD
Individual provider Active NPI Neurology Physician · Burlington, VT
NPI 1639664832 · NPPES record last updated Sep 22, 2023
Key facts
- NPI
- 1639664832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 042-0016725 (VT)
- Practice address
- 111 Colchester Ave
Burlington, VT 05401-1473 - Phone
- (802) 847-4589
- NPI assigned
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 22
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Vermont Medical Center Inc
Central Vermont Medical Center Inc
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
130 Fisher Rd
Mob a
Berlin, VT 05602-9516
Phone (802) 225-5650
Hospital & facility affiliations
- Central Vermont Home Health & Hospice
- Central Vermont Medical Center
- Univ. of Vermont - Fletcher Allen Health Care
- Copley Hospital
- Porter Hospital Inc
- Northwestern Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231013000972 | VT | Practitioner - Neurology | 8729326103 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0016725 | VT | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Vermont Medical Center Inc | Neurology | Current |
Accepting new patients |
| University of Vermont Medical Center Inc | Current |
Accepting new patients |
Locations
77 Vine St
Barre, VT 05641
Phone (802) 225-1266
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
130 Fisher Rd
Unit 1
Berlin, VT 05602
Phone (802) 225-1743
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
Interoperability endpoints
- kali548560@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | LL61191 | SC | |
| Neurology Physician | 2084N0400X | 042-0016725 | VT | Yes |
Addresses
Primary practice location
111 Colchester Ave
Burlington, VT 05401-1473
Mailing address
Neurology Department
8 Medical Park, Ste 420
Columbia, SC 29203
Phone (803) 545-6050
Other practice location 1
130 Fisher Rd Unit 1
Berlin, VT 05602-8132
Phone (802) 225-5650
Other practice location 2
Neurology Department
8 Medical Park, Ste 420
Columbia, SC 29203
Phone (803) 545-6050
Other providers in Burlington, VT
- Ryan Kathleen Campbell Albertson
- Sarah Alexander
- Alexandra Dezenzo SLP PC
- Alexis Pless Counseling LLC
- Margaret Algranati
- Damir Alisa
- All Seasons Physical Therapy Consultants Inc
- All Wellness, LLC
- A Edward Allen IV
- Christopher Allen
All providers in Burlington, VT · Neurology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.