Active NPI
Edward Khalil, MD
- Internal Medicine Physician
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15880
- Practice address
- 1 Parkland Dr
Derry, NH 03038-2746 - Phone
- (603) 421-2143
- Fax
- (603) 421-2344
- NPI assigned
- Jun 5, 2007
- Last updated
- Jan 22, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15880 | NH | Primary |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 017256 | ME | |
| Hospitalist Physician | 208M00000X | 268905 | MA |
Addresses
Primary practice location
1 Parkland Dr
Derry, NH 03038-2746
Mailing address
14 Crestview Cir Unit 164
Londonderry, NH 03053-2489
Phone (207) 263-6761
Other practice location 1
101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017256 | Other | ME | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ekhali54499@direct.southcoast.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919
1524 Atwood Ave
Suite 220
Johnston, RI 02919-3288
Phone (401) 272-1900
277 Pleasant St
Suite 240
Fall River, MA 02721-3005
Phone (508) 676-3292
55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136
680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7000
88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017256 | ME | MD | Geriatric Medicine (Internal Medicine) Physician |
| 268905 | MA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prima Care, PC | Current | Accepting new patients | |
| Lifespan Physician Group of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts, Inc | Internal Medicine | Current | Accepting new patients |
| Prima Care, PC | Current | Accepting new patients | |
| Sound Physicians of Massachusetts II PC | Internal Medicine | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Atwood Medical Associates LTD | Internal Medicine | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| South Shore Medical Center, Inc. | Internal Medicine | Current | Accepting new patients |
| Physicians of Cape Cod Hospital | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Coastal Medical Associates | Hospitalist | Current | Accepting new patients |
| Narraguagus Bay Health Care Facility | Past | Accepting new patients | |
| Inpatient Physicians of Derry PLLC | Hospitalist | Past | Accepting new patients |
| Narraguagus Bay Health Care | Past | Accepting new patients |
Locations
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244
277 Pleasant St
Ste 240
Fall River, MA 02721
Phone (500) 300-3271
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293
1524 Atwood Ave
Ste 220
Johnston, RI 02919
Phone (401) 272-1900
Interoperability endpoints
- ekhali54499@direct.southcoast.org
Organizations & group practices 18
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.
-
- Pulmonary Disease Physician
- Johnston, RI
- NPI 1558386227
Internal Medicine
-
dba Brown Health Medical Group
- Family Medicine Physician
- Taunton, MA
- NPI 1235957713
Internal Medicine
-
- Clinic/Center
- Fall River, MA
- NPI 1265422596
-
dba Sound Physicians
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Internal Medicine
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
Internal Medicine
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1306376397
-
- Internal Medicine Physician
- Norwell, MA
- NPI 1669411856
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Orthopaedic Surgery Physician
- Fall River, MA
- NPI 1194587287
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Signature Healthcare Brockton Hospital
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
dba Our Lady of Fatima Hospital
- General Acute Care Hospital
- North Providence, RI
- NPI 1871918870
-
- General Acute Care Hospital
- South Weymouth, MA
- NPI 1134227606
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1922200377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 CRESTVIEW CIR UNIT 164",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030532489",
"telephone_number": "207-263-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARKLAND DR",
"city": "DERRY",
"state": "NH",
"postal_code": "030382746",
"telephone_number": "603-421-2143",
"fax_number": "603-421-2344"
}
],
"practiceLocations": [
{
"address_1": "101 Page St",
"address_purpose": "LOCATION",
"city": "New Bedford",
"state": "MA",
"postal_code": "027403464",
"country_code": "US",
"telephone_number": "508-973-5919",
"fax_number": "508-973-5916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALIL",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-05",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NH",
"license": "15880",
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "ME",
"license": "017256",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "268905",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "017256",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ekhali54499@direct.southcoast.org",
"affiliation": "N",
"endpointDescription": "Southcoast Health Epic Direct Address",
"address_1": "101 Page St",
"city": "New Bedford",
"state": "MA",
"country_code": "US",
"postal_code": "027403464",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.