Individual provider Active NPI

Adeel Khalid, M.D.

  • Diagnostic Radiology Physician
  • Pontiac, MI
National Provider Identifier
1821016262
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301068657 Issued in MI
Practice address
461 West Huron
Pontiac, MI 48341-1651
Phone
(248) 857-7515
Fax
(734) 677-7407
NPI assigned
Jul 17, 2006
Last updated
Mar 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 068657 MI
Diagnostic Radiology Physician 2085R0202X 4301068657 MI Primary

Addresses

Primary practice location

461 West Huron
Pontiac, MI 48341-1651

Mailing address

PO Box 67000
Dept 160901
Detroit, MI 48267-1609
Phone (586) 493-8098

Other identifiers 4

IdentifierTypeStateIssuer
CI8050OtherMIMEDICARE RR GROUP PIN
0E01133OtherMIBCBS GROUP
4274881MedicaidMI
4636536MedicaidMI

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
I20040609000172 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 4082697396 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068657MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group Diagnostic Radiology CurrentSince Mar 10, 2025 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Flint Diagnostic Radiology CurrentSince Aug 13, 2025 Accepting new patients
McLaren Medical Group CurrentSince Mar 10, 2025 Accepting new patients
McLaren Flint CurrentSince Aug 13, 2025 Accepting new patients
Kellam & Associates, P. C. Diagnostic Radiology CurrentSince Jul 10, 2017 Accepting new patients
McLaren Bay Region CurrentSince Aug 14, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 13, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 13, 2025 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Jun 20, 2025 Accepting new patients
McLaren Bay Region CurrentSince Aug 14, 2025 Accepting new patients
NDS Radiology PLLC PastSince Feb 23, 2025 Accepting new patients
Khalid & Associates MD PC Diagnostic Radiology Past Accepting new patients

Locations

7619 Solutions Ctr
Chicago, IL 60677

3100 Cross Creek Pkwy
Ste 120
Auburn Hills, MI 48326
Phone (248) 327-8980

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4 Columbus Ave
Ste 160
Bay City, MI 48708
Phone (989) 377-4477

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

6770 Dixie Hwy
Ste 100
Clarkston, MI 48346
Phone (248) 922-9353

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1320 E M 32
Gaylord, MI 49735
Phone (231) 487-5400

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

3520 Forest Rd
Lansing, MI 48910
Phone (517) 975-7800

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1821016262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67000",
            "address_2": "DEPT 160901",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482671609",
            "telephone_number": "586-493-8098",
            "fax_number": "734-677-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 WEST HURON",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411651",
            "telephone_number": "248-857-7515",
            "fax_number": "734-677-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID",
        "first_name": "ADEEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "068657",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301068657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP PIN",
            "identifier": "CI8050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0E01133",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4274881",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4636536",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.