Vali Khairollahi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6853 Issued in TN

Practice address

7035 Middlebrook Pike Ste B
Knoxville, TN 37909-1156

Phone

(865) 544-1550

Fax

(865) 544-1570

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Innovative Primary Care, LLC

  • Medical Physician Assistant
  • Knoxville, TN
  • NPI 1366993263
  NPD

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1982633731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 MIDDLEBROOK PIKE STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091156",
            "telephone_number": "865-544-1550",
            "fax_number": "865-544-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 MIDDLEBROOK PIKE STE B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091156",
            "telephone_number": "865-544-1550",
            "fax_number": "865-544-1570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Ball Camp Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379213312",
            "country_code": "US",
            "telephone_number": "865-544-1550",
            "fax_number": "865-544-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAIROLLAHI",
        "first_name": "VALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "6853",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "6853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHILED",
            "identifier": "3135631",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3138612",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Elizabeth Key, LPC-MHSP
• Matthew Michael Key, CRNA
• Graeme Keys, PT
• Chelsea Keyser, HS
• Keystone Pharmacy Services LLC
• Fauzia Khalid, NP
• Siridatar K Khalsa-Zemel, MS,RD,LDN
• Khalid Khan, APRN
• Mujeeb H Khan, MD
• Sadia Khan, FNP

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.