DR. MANOUTCHER KHALILI (MD) – Family Medicine Physician, NPI 1861446841
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,034 GENERAL PRACTICE in CA
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Provider Addresses for DR. MANOUTCHER KHALILI (MD)
4111, Vanalden Avenue, Tarzana Neighborhood Council District, Los Angeles, Los Angeles County, California, 91356, United States
TARZANA, CA 913565516
Phone: (818) 757-7246
Fax: (310) 323-0216
Type: Mailing
1146, West Redondo Beach Boulevard, Gardena, Los Angeles County, California, 90247, United States
GARDENA, CA 902473538
Phone: (323) 428-9999
Fax: (310) 323-0216
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $929.
Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novo Nordisk Inc ($293).
Total Amount
$929
General + Research + Ownership
Payments
33
Total payment records
General Amount
$929
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $293 |
| Lilly USA, LLC | $212 |
| GlaxoSmithKline, LLC. | $114 |
| Exact Sciences Corporation | $78 |
| PFIZER INC. | $54 |
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: 2005-07-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050706000259 | I | General Practice | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 49 | $0 |
Insurance plans in this area (ZIP 91356)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA |
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