DR. KHALID ABDULLAH (MD) – Internal Medicine Physician, NPI 1205462264

DR. KHALID ABDULLAH (MD) is a healthcare provider. based in San diego, California. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A182855 (CA). The NPI Number for DR. KHALID ABDULLAH (MD) is 1205462264

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. KHALID ABDULLAH (MD)
NPI
1205462264
Phone
(619) 260-7125
Address
4077 FIFTH AVE
Enumeration Date
20 March 2020
Last Update Date
5 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5597913880
Graduation Year
2008 (18 years ago)
PAC ID
1153780440
Group Practice PAC ID
7012228992
Professional Enrollment ID
I20230705001528
Address ID
CA932573320PO465XXAVEX400
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

3,302 HOSPITALIST in CA

Provider Addresses for DR. KHALID ABDULLAH (MD)

  • 4077 FIFTH AVE

    SAN DIEGO, CA 921032105

    Phone: (619) 260-7125

    Type: Location

  • 354 Santa Fe Dr

    Encinitas, CA 920245142

    Phone: (760) 230-2251

    Type: Location

  • 4077 FIFTH AVE # MER35

    SAN DIEGO, CA 921032105

    Phone: (619) 260-7215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-07-05

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
I20230705001528IHospitalistCATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes150149$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8739$0
99239Hospital discharge day management, more than 30 minutes3535$0
View full utilization report →

Insurance plans in this area (ZIP 92103)

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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: 7012228992View full group profile
NameSpecialtyState
Internal MedicineMN
-CA
Internal MedicineTN
General PracticeCA
Internal Medicine, Pulmonary DiseaseCA
Internal Medicine, Family PracticeCA
-CA
Family Practice, Osteopathic Manipulative MedicineCA
Internal MedicineCA
Internal MedicineCA

Reviews

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Frequently asked questions

What is the registry number for DR. KHALID ABDULLAH (MD)?
The registry entry for DR. KHALID ABDULLAH (MD) shows NPI 1205462264.
Is DR. KHALID ABDULLAH (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. KHALID ABDULLAH (MD) as active.
Which specialty label fits DR. KHALID ABDULLAH (MD)?
NPPES ties DR. KHALID ABDULLAH (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KHALID ABDULLAH (MD)?
DR. KHALID ABDULLAH (MD) shows a connection to San Diego, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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