DR. ANDREW KHALIFA (MD) – Family Medicine Physician, NPI 1346828308

DR. ANDREW KHALIFA (MD) is a healthcare provider. based in North little rock, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 036.169970 (IL). The NPI Number for DR. ANDREW KHALIFA (MD) is 1346828308

Main info

Male
Sole Proprietor
17 Years Of Experience
Name
DR. ANDREW KHALIFA (MD)
NPI
1346828308
Phone
Not provided
Address
3201 SPRINGHILL DR STE 300
Enumeration Date
31 March 2021
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3123717951
Graduation Year
2009 (17 years ago)
PAC ID
6406265685
Group Practice PAC ID
9830508951
Professional Enrollment ID
I20250128001159
Address ID
IL606162857CH2600XAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,499 FAMILY PRACTICE in AR

Provider Addresses for DR. ANDREW KHALIFA (MD)

  • 3201 SPRINGHILL DR STE 300

    NORTH LITTLE ROCK, AR 721172909

    Phone:

    Type: Mailing

  • 2600 S MICHIGAN AVE STE 305

    CHICAGO, IL 606162857

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $332.

Total Amount is formed as General ($332) + Research ($0) + Ownership ($0) = $332.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Exact Sciences Corporation ($90).

Total Amount

$332

General + Research + Ownership

Payments

14

Total payment records

General Amount

$332

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250128001159IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830508951View full group profile
NameSpecialtyState
Family PracticeIL
Physician AssistantMD
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How is DR. ANDREW KHALIFA (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ANDREW KHALIFA (MD) with NPI 1346828308.
Is DR. ANDREW KHALIFA (MD) listed as active for patients and plans?
The listing shows DR. ANDREW KHALIFA (MD) as active in the NPI system.
What is DR. ANDREW KHALIFA (MD)'s primary classification?
Family Medicine Physician is the headline specialty for DR. ANDREW KHALIFA (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANDREW KHALIFA (MD)?
DR. ANDREW KHALIFA (MD)'s geographic hint is North Little Rock, Arkansas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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