Khalif D Ball, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

909 Unity Rd
Crossett, AR 71635-9444

Phone

(870) 364-9111

NPI assigned

Oct 3, 2022

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

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Colorado River Primary Care, Inc

  dba Tri State Primary Care

  • Internal Medicine Physician
  • Fort Mohave, AZ
  • NPI 1669146536
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1649994534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 UNITY RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716359444",
            "telephone_number": "870-364-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 UNITY RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716359444",
            "telephone_number": "870-364-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "KHALIF",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkansas Nephrology Services, LTD. (Ashley Kidney Center)
• Ashley County Skilled Workcenter, Inc.
• Ashley Medical and Respiratory
• Ashley Nursing Center Inc (Ashley County Nursing and Rehab)
• Bakers Pharmacy Inc (Bakers Pharmacy)
• Kasie Marie Barrow McCaughan, CASE MANAGER COORDIN
• Barry V. Thompson, M.D. P.a.
• David Jay Barton, DDS
• Julie Leanne Bays, APN
• Tratesha Antronell Bell, DAY TREATMENT TECH

• Student in an Organized Health Care Education/Training Program in Crossett, AR
• Providers in Crossett, AR by specialty
• Student in an Organized Health Care Education/Training Program in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.