AHMED KHALAFALLA (MD) – Internal Medicine Physician, NPI 1043897119

AHMED KHALAFALLA (MD) is a healthcare provider. based in Stuart, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME167476 (FL). The NPI Number for AHMED KHALAFALLA (MD) is 1043897119

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
AHMED KHALAFALLA (MD)
NPI
1043897119
Phone
Not provided
Address
200 SE HOSPITAL AVE
Enumeration Date
25 March 2021
Last Update Date
29 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722232300
Graduation Year
2021 (5 years ago)
PAC ID
4981008703
Group Practice PAC ID
2961300611
Professional Enrollment ID
I20240805001037
Address ID
FL349976503ST2100XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for AHMED KHALAFALLA (MD)

  • 200 SE HOSPITAL AVE

    STUART, FL 349942346

    Phone:

    Type: Mailing

  • 4700 WATERS AVE

    SAVANNAH, GA 314046220

    Phone:

    Type: Mailing

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: 2024-08-05

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
I20240805001037IInternal MedicineFLTBD

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 34994)

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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: 2961300611View full group profile
NameSpecialtyState
Internal MedicineGA
Orthopedic SurgeryFL
Internal MedicineAZ
Orthopedic SurgeryME
Physician AssistantFL
Nurse PractitionerFL
Radiation OncologyFL
Pulmonary Disease, Critical Care (Intensivists)WV
N E U R O L O G YFL
Nephrology, Internal MedicineFL

Reviews

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Frequently asked questions

What federal number belongs to AHMED KHALAFALLA (MD)?
The federal identifier for AHMED KHALAFALLA (MD) is NPI 1043897119.
Is AHMED KHALAFALLA (MD)'s NPI currently valid?
The extract we use shows AHMED KHALAFALLA (MD) as active.
What does AHMED KHALAFALLA (MD) treat or focus on?
Patients typically see AHMED KHALAFALLA (MD) under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for AHMED KHALAFALLA (MD)?
The page summarizes Stuart, Florida for AHMED KHALAFALLA (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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