Individual provider Active NPI

Khaled Malkawi, M.D

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1689809246
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
58078 Issued in AZ
Practice address
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone
(602) 839-2000
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301087926 MI
Diagnostic Radiology Physician 2085R0202X C154587 CA
Diagnostic Radiology Physician 2085R0202X 58078 AZ Primary

Addresses

Primary practice location

1111 E McDowell Rd
Phoenix, AZ 85006-2612

Mailing address

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Other names 1

  • Dr. Khaled Abdallah Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20190715000844 AZ Practitioner - Diagnostic Radiology 3072788058 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner - University Hospital Based Physicians LLCGroup PAC ID 1052614294, 343 clinicians
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
Banner Imaging Services LLCGroup PAC ID 1850724386, 122 clinicians
Banner - University Physician Specialists LLCGroup PAC ID 5991008054, 343 clinicians
Banner Cancer Center Specialists LLCGroup PAC ID 6103097779, 343 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-2000

5605 W Eugie Ave
Suite 110
Glendale, AZ 85304-1273
Phone (480) 610-7400

755 E McDowell Rd
Phoenix, AZ 85006-2506
Phone (602) 521-3086

925 E McDowell Rd
Phoenix, AZ 85006-2502
Phone (602) 521-3700

Hospital & facility affiliations

  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002
  • Banner - University Medical Center Tucson Campus Hospital, Tucson, AZ, CCN 030064
  • Banner-University Medical Center South Campus Hospital, Tucson, AZ, CCN 030111
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
78.73
Promoting interoperability
98
Improvement activities
40
Cost
62.46

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
69.75
Promoting interoperability
98
Improvement activities
40
Cost
68.18

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as group
Quality
62.19
Promoting interoperability
99
Improvement activities
40
Cost
61.29

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58078AZMDDiagnostic Radiology Physician
C154587CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner - University Physician Specialists LLC CurrentSince Aug 1, 2021 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Dec 23, 2023 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince May 8, 2024 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Banner Imaging Services LLC CurrentSince May 8, 2024 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Aug 1, 2021 Accepting new patients
Banner-University Medical Group Family Medicine CurrentSince Dec 1, 2019 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Aug 15, 2019 Accepting new patients
Banner-University Medical Group CurrentSince Dec 1, 2019 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Dec 23, 2023 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Aug 15, 2019 Accepting new patients

Locations

1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

18444 N 25th Ave
Ste 140
Phoenix, AZ 85023
Phone (623) 465-6940

4200 E Camelback Rd
Ste 105
Phoenix, AZ 85018

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

755 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 271-5111

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

9305 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (623) 842-5652

7400 N Dobson Rd
Ste 102
Scottsdale, AZ 85256

14420 W Meeker Blvd
Ste A101
Sun City West, AZ 85375
Phone (623) 524-4016

1840 E Warner Rd
Ste 114
Tempe, AZ 85284
Phone (480) 768-2800

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

4291 N Campbell Ave
Tucson, AZ 85719
Phone (520) 425-8900

3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Ste 3401
Tucson, AZ 85719

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1689809246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKAWI",
        "first_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301087926",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C154587",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "58078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHALED",
            "last_name": "ABDALLAH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.