Individual provider Active NPI

Edward Khalil, MD

  • Internal Medicine Physician
  • Derry, NH
National Provider Identifier
1922200377
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15880 Issued in NH
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 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

IdentifierTypeStateIssuer
017256OtherMELICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekhali54499@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161109000140 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8921107228 Reassigns benefits to 11 organizations
I20260108000592 RI Practitioner - HospitalistPractitioner - Internal Medicine 8921107228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians
Atwood Medical Associates LTDGroup PAC ID 0941106652, 24 clinicians
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

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

LicenseStateTypeSpecialty
017256MEMDGeriatric Medicine (Internal Medicine) Physician
268905MAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Apr 1, 2020 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Jul 2, 2017 Accepting new patients
Prima Care, PC CurrentSince Apr 1, 2020 Accepting new patients
Sound Physicians of Massachusetts II PC Internal Medicine CurrentSince Jan 2, 2018 Accepting new patients
Southcoast Physicians Group, Inc. Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Atwood Medical Associates LTD Internal Medicine CurrentSince Oct 24, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
South Shore Medical Center, Inc. Internal Medicine CurrentSince May 14, 2025 Accepting new patients
Physicians of Cape Cod Hospital Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Jul 2, 2017 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Coastal Medical Associates Hospitalist CurrentSince May 14, 2025 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

  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.