ESAM KHALIFA (MD) – Internal Medicine Physician, NPI 1104320043

ESAM KHALIFA (MD) is a healthcare provider. based in Largo, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME148538 (FL). The NPI Number for ESAM KHALIFA (MD) is 1104320043

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ESAM KHALIFA (MD)
NPI
1104320043
Phone
(727) 674-3909
Address
12812 LAKE DR
Enumeration Date
23 March 2018
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549740400
Graduation Year
2015 (11 years ago)
PAC ID
6305190687
Group Practice PAC ID
9234596743
Professional Enrollment ID
I20210407000514
Address ID
FL330635727MA2801XRDXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

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Provider Addresses for ESAM KHALIFA (MD)

  • 12812, Lake Drive, Largo, Pinellas County, Florida, 33774, United States

    LARGO, FL 337743138

    Phone: (727) 674-3909

    Type: Mailing

  • 1110 Gulf Breeze Pkwy

    Gulf Breeze, FL 325614897

    Phone: (850) 934-2000

    Type: Location

  • 9508 65TH RD APT 5D

    REGO PARK, NY 113744190

    Phone: (727) 674-3909

    Type: Mailing

  • 1000 W MORENO ST

    PENSACOLA, FL 325012316

    Phone: (850) 434-4011

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: Boston Scientific Corporation ($99).

Total Amount

$99

General + Research + Ownership

Payments

1

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210407000514IInternal MedicineFLTBD
I20220401000329IInternal MedicinePATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes428190$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes22698$0
99239Hospital discharge day management, more than 30 minutes132125$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes110105$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4843$0
View full utilization report →

Insurance plans in this area (ZIP 33774)

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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: 9234596743View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Internal Medicine, HospitalistFL
Internal MedicineFL
Hospitalist, Family PracticeFL
Internal MedicineFL
Family PracticeFL
Internal MedicineFL
Internal Medicine, HospitalistFL
Internal MedicinePA

Reviews

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Frequently asked questions

How is ESAM KHALIFA (MD) identified in CMS data?
CMS-hosted NPPES data lists ESAM KHALIFA (MD) with NPI 1104320043.
Can I rely on ESAM KHALIFA (MD) being an active provider?
As of the registry snapshot, ESAM KHALIFA (MD) is marked active.
What is ESAM KHALIFA (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for ESAM KHALIFA (MD) here. Clinical services aligned with this taxonomy classification.
Where is ESAM KHALIFA (MD) based?
ESAM KHALIFA (MD) is tied to Largo, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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