DR. KHALIL F GORGUI (M.D.) – Internal Medicine Physician, NPI 1225076375
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
442 FAMILY PRACTICE in DE
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Provider Addresses for DR. KHALIL F GORGUI (M.D.)
8, Grove Street, Delmar, Town of Bethlehem, Albany County, New York, 12054, United States
DELMAR, DE 199401115
Phone: (302) 846-0618
Fax: (302) 846-3668
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 107 Open Payments records for all available years, with a total value of $2,510.
Total Amount is formed as General ($2,510) + Research ($0) + Ownership ($0) = $2,510.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($829).
Total Amount
$2,510
General + Research + Ownership
Payments
107
Total payment records
General Amount
$2,510
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $829 |
| GlaxoSmithKline, LLC. | $299 |
| Novo Nordisk Inc | $275 |
| Lilly USA, LLC | $131 |
| Insmed, Inc. | $112 |
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: 2004-03-04
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 |
|---|---|---|---|---|
| I20040304000310 | I | Family Practice | DE | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 436 | 254 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 412 | 228 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 169 | 169 | $0 |
| 83036 | Hemoglobin a1c level | 159 | 76 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 61 | 60 | $0 |
Insurance plans in this area (ZIP 19940)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | DE | 83036 | Hemoglobin A1C level | 108 | 68 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| General Surgery | NY | |
| Nurse Practitioner | DE | |
| - | DE | |
| Internal Medicine | UT | |
| Hospitalist, Family Practice | DE | |
| - | DE | |
| Family Practice | MD | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | DE |
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