KAMAL KHORFAN (MD) – Gastroenterology Physician, NPI 1174055958

KAMAL KHORFAN (MD) is a healthcare provider. based in Fresno, California. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. A169880 (CA). The NPI Number for KAMAL KHORFAN (MD) is 1174055958

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
KAMAL KHORFAN (MD)
NPI
1174055958
Phone
(559) 499-6500
Address
155 N Fresno St
Enumeration Date
30 March 2017
Last Update Date
18 August 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5176253004
Graduation Year
2017 (9 years ago)
PAC ID
8921374810
Group Practice PAC ID
8527976497
Professional Enrollment ID
I20230614001429
Address ID
MI488729706PE3337XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,981 GASTROENTEROLOGY in CA

Provider Addresses for KAMAL KHORFAN (MD)

  • 155 N Fresno St

    Fresno, CA 937012302

    Phone: (559) 499-6500

    Type: Location

  • 721 N SHIAWASSEE ST STE 202

    OWOSSO, MI 488671632

    Phone: (989) 729-1600

    Fax: (989) 729-4070

    Type: Mailing

  • 2335 E Kashian Ln Ste 280

    Fresno, CA 937012211

    Phone: (559) 320-1090

    Fax: (559) 320-0331

    Type: Location

  • 155, North Fresno Street, Fresno, Fresno County, California, 93701, United States

    FRESNO, CA 937012302

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $831.

Total Amount is formed as General ($831) + Research ($0) + Ownership ($0) = $831.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($179).

Total Amount

$831

General + Research + Ownership

Payments

41

Total payment records

General Amount

$831

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

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: 2023-06-14

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
I20230614001429IGastroenterologyMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2626$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope2121$0
View full utilization report →

Insurance plans in this area (ZIP 93701)

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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: 8527976497View full group profile
NameSpecialtyState
Physician AssistantMI
A N E S T H E S I O L O G YIL
Internal MedicineMI
Nurse PractitionerMI
-MI
Physician AssistantMI
-MI
Nurse PractitionerMI
Internal Medicine, Geriatric MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I cross-check KAMAL KHORFAN (MD) using NPI 1174055958?
NPI 1174055958 belongs to KAMAL KHORFAN (MD); compare other details if you need extra assurance.
Is KAMAL KHORFAN (MD) shown as active in public data?
Registry records indicate KAMAL KHORFAN (MD) maintains an active NPI.
What kind of doctor is KAMAL KHORFAN (MD)?
KAMAL KHORFAN (MD) is associated with Gastroenterology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KAMAL KHORFAN (MD)?
Travel planning: use Fresno, California as the reference point for KAMAL KHORFAN (MD), then confirm.
Can I trust this NPI listing for KAMAL KHORFAN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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