Individual provider Active NPI

Anthony Khalifeh, MD

  • Anesthesiology Physician
  • Boston, MA
National Provider Identifier
1740777168
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4301506228 Issued in MI
Practice address
330 Brookline Ave # FD-221
Boston, MA 02215-5400
Phone
(617) 667-5081
Fax
(617) 667-5050
NPI assigned
Apr 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301506228 MI Primary

Addresses

Primary practice location

330 Brookline Ave # FD-221
Boston, MA 02215-5400

Mailing address

330 Brookline Ave # FD-221
Boston, MA 02215-5400
Phone (617) 667-5081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220523001811 MI Practitioner - Anesthesiology 4688051162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Boston University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northland Anesthesia Associates PCGroup PAC ID 5294623336, 20 clinicians
Providence Park Anesthesia Associates, PCGroup PAC ID 7315009479, 19 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

30400 Telegraph Rd
Suite 405
Bingham Farms, MI 48025-5817
Phone (248) 849-8138

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Anesthesia Associates, PC CurrentSince Jun 1, 2022 Accepting new patients
Providence Park Anesthesia Associates, PC CurrentSince Jun 1, 2022 Accepting new patients

Locations

30400 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 483-8138

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

Interoperability endpoints

  • Direct secure messaging: akhalifeh1134570@direct.hfhs.org

Organizations & group practices 2

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 1

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1740777168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE # FD-221",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-5081",
            "fax_number": "617-667-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE # FD-221",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-5081",
            "fax_number": "617-667-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIFEH",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301506228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.