Active NPI
Imran Khalil, M.D
- Interventional Cardiology Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD.43540
- Practice address
- 4300 W Main St Ste 21
Dothan, AL 36305-1058 - Phone
- (334) 699-7900
- Fax
- (334) 699-7901
- NPI assigned
- Oct 21, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Cardiology Physician | 207RI0011X | MD.43540 | AL | Primary |
| Interventional Cardiology Physician | 207RI0011X | 298324 | NY | |
| Hospitalist Physician | 208M00000X | 52814 | CT |
Addresses
Primary practice location
4300 W Main St Ste 21
Dothan, AL 36305-1058
Mailing address
PO Box 6599
Dothan, AL 36302-6599
Phone (334) 699-7900
Other practice location 1
1481 W 10th St
Indianapolis, IN 46202-2803
Phone (317) 988-4403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43540 | Other | AL | LICENSE |
Other names 1
- Imran Alkhalil
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Interventional Cardiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 Westside Dr
Dothan, AL 36303-1928
Phone (334) 793-5074
4300 W Main St
Dothan, AL 36305-1058
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-4613
Hospital & facility affiliations
- Flowers Hospital
- Medical Center Enterprise
- Jackson Hospital
- Mizell Memorial Hospital
- Medical Center Barbour
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.97 of 100
- Quality
- 75.95
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 124 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.43540 | AL | MD | Interventional Cardiology Physician |
| 298324 | NY | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wiregrass Clinic LLC | Current | Accepting new patients | |
| Cardiology Associates, PA | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
4300 W Main St
Ste 102
Dothan, AL 36305
Phone (334) 793-9564
4300 W Main St
Ste 45
Dothan, AL 36305
Phone (334) 673-0049
4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900
1118 Ross Clark Cir
Ste 501
Dothan, AL 36301
Phone (334) 793-9564
Interoperability endpoints
- imran.khalil.1@3326.direct.athenahealth.com
- imrankhalil@dothanspcl.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1558657890
-
- Cardiovascular Disease Physician
- Dothan, AL
- NPI 1922088798
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Opp, AL
- NPI 1013937705
-
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
-
- Rural Health Clinic/Center
- Louisville, AL
- NPI 1134632045
Hospital
-
- Family Medicine Physician
- Hurtsboro, AL
- NPI 1154972883
Hospital
-
- Critical Access Hospital
- Eufaula, AL
- NPI 1730692641
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1801830500
-
- General Acute Care Hospital
- Marianna, FL
- NPI 1538108725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1912282948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6599",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363026599",
"telephone_number": "334-699-7900",
"fax_number": "334-699-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MAIN ST STE 21",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363051058",
"telephone_number": "334-699-7900",
"fax_number": "334-699-7901"
}
],
"practiceLocations": [
{
"address_1": "1481 W 10th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462022803",
"country_code": "US",
"telephone_number": "317-988-4403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALIL",
"first_name": "IMRAN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-21",
"last_updated": "2024-12-03",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AL",
"license": "MD.43540",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "298324",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "52814",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "43540",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IMRAN",
"last_name": "ALKHALIL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.