Active NPI
Adeel Khalid, M.D.
- Diagnostic Radiology Physician
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301068657
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI8050 | Other | MI | MEDICARE RR GROUP PIN |
| 0E01133 | Other | MI | BCBS GROUP |
| 4274881 | Medicaid | MI | |
| 4636536 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 068657 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Flint | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Flint | Current | Accepting new patients | |
| Kellam & Associates, P. C. | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Bay Region | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Hospital Group | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Bay Region | Current | Accepting new patients | |
| NDS Radiology PLLC | Past | 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.
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
- Family Medicine Physician
- Bay City, MI
- NPI 1508131087
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1366472029
-
- Psychiatry Physician
- Bay City, MI
- NPI 1942560339
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
-
- Diagnostic Radiology Physician
- Pontiac, MI
- NPI 1710911961
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.