Active NPI
Phoenix Family Medical Care PLLC
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36157
- Legal business name
- PHOENIX FAMILY MEDICAL CARE PLLC
- Practice address
- 1002 E McDowell Rd Ste a
Phoenix, AZ 85006-2624 - Phone
- (602) 388-4299
- Fax
- (602) 388-4097
- NPI assigned
- Feb 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Josef Khalil, MD
- Title
- MD/Owner
- Phone
- (602) 388-4299
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36157 | AZ | Primary |
Addresses
Primary practice location
1002 E McDowell Rd Ste a
Phoenix, AZ 85006-2624
Mailing address
1002 E McDowell Rd Ste a
Phoenix, AZ 85006-2624
Phone (602) 388-4299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152762 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D1099097 | Phoenix Family Medical Care | Certificate of waiver | May 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
515 W Buckeye Rd
Ste 401
Phoenix, AZ 85003
Phone (602) 388-4299
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1356403695
-
- Family Nurse Practitioner
- Queen Creek, AZ
- NPI 1982776563
-
- Physician Assistant
- Surprise, AZ
- NPI 1609495571
-
- Physician Assistant
- Scottsdale, AZ
- NPI 1053903674
-
- Physician Assistant
- Phoenix, AZ
- NPI 1033747753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1952540593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 E MCDOWELL RD STE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062624",
"telephone_number": "602-388-4299",
"fax_number": "602-388-4097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 E MCDOWELL RD STE A",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062624",
"telephone_number": "602-388-4299",
"fax_number": "602-388-4097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX FAMILY MEDICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-05",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "JOSEF",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "602-388-4299",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "36157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152762",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.