Individual provider Active NPI

Ali Khalofa, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1821484767
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101270784 Issued in VA
Practice address
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone
(202) 741-3000
NPI assigned
Apr 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD045905 DC
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 0101270784 VA Primary

Addresses

Primary practice location

2150 Pennsylvania Ave NW
Washington, DC 20037-3201

Mailing address

1301 N Troy St Apt 318
Arlington, VA 22201-2552
Phone (205) 382-7757

Other practice location 1

101 Stadium Dr
Morgantown, WV 26506-7911
Phone (304) 598-4850

Other practice location 2

1850 Town Center Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ALI.KHALOFA@hca6.eclinicaldirectplus.com
Other URL Restonhospital.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220415000067 VA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5991007585 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients

Locations

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • Direct secure messaging: ali.khalofa.1@14718.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1821484767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N TROY ST APT 318",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012552",
            "telephone_number": "205-382-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Stadium Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265067911",
            "country_code": "US",
            "telephone_number": "304-598-4850",
            "fax_number": "304-598-4871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Town Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903204",
            "country_code": "US",
            "telephone_number": "703-689-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALOFA",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2022-01-04",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD045905",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101270784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ALI.KHALOFA@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1850 Town Center Pkwy",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Restonhospital.com",
            "affiliation": "N",
            "address_1": "1850 Town Center Pkwy",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201903204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.