Hicham Khallafi, M.D

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

35123425 Issued in OH

Practice address

3600 Kolbe Rd Ste 205
Lorain, OH 44053-1677

Phone

(440) 960-4416

Fax

(440) 960-4417

NPI assigned

Feb 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Internal MedicineAlso: Gastroenterology

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
• Mercy Allen Hospital Hospital, Oberlin, OH, CCN 361306

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hkhallafi649034@direct.bsmhealth.org

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.

• Mercy Health Physicians Lorain Specialty Care LLC

  • Surgery Physician
  • Lorain, OH
  • NPI 1972126381
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians Lorain, LLC

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1023347192

  Gastroenterology

  Medicare reassignment NPD
• The Metrohealth System

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1053353896
  Medicare reassignment NPD
• Mercy Health Physicians Lorain Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Vermilion, OH
  • NPI 1255063145
  NPD
• Mercy Health Physicians, Lorain, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oberlin, OH
  • NPI 1730724147
  NPD
• The Metrohealth System

  • Pharmacy
  • Cleveland, OH
  • NPI 1992529911
  NPD

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

• Mercy Health-Allen Hospital LLC

  • Critical Access Hospital
  • Oberlin, OH
  • NPI 1801825997
  Care Compare affiliation
• Mercy Health-Regional Medical Center LLC

  • Clinical Medical Laboratory
  • Lorain, OH
  • NPI 1164971800

  Hospital

  Care Compare affiliation
• Mercy Health-Regional Medical Center LLC

  • General Acute Care Hospital
  • Lorain, OH
  • NPI 1245274950
  Care Compare affiliation

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1669640165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 205",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531677",
            "telephone_number": "440-960-4416",
            "fax_number": "440-960-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 205",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531677",
            "telephone_number": "440-960-4416",
            "fax_number": "440-960-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALLAFI",
        "first_name": "HICHAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "OH",
            "license": "35123425",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35123425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kelly, L.S.W.
• Courtney P Kemmerling, PHARMD, RPH
• Ashley Jo Kenzik, PHARMD
• Robert Kerro, MD
• Jacob H Kestler, CDCA
• Meagan Michaud Khandekar, MOT, OTR/L
• Saloni Khatri, MD
• Brittany Annette Kidd
• Edward Jaemin Kim, DMD
• Adam Kimberly, PT,DPT,OCS

• Gastroenterology Physician in Lorain, OH
• Providers in Lorain, OH by specialty
• Gastroenterology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.