BIBI KHADIJA (PA-C) – Medical Physician Assistant, NPI 1457738874

BIBI KHADIJA (PA-C) is a healthcare provider. based in Brookline, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA5282 (MA). The NPI Number for BIBI KHADIJA (PA-C) is 1457738874

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
BIBI KHADIJA (PA-C)
NPI
1457738874
Phone
(617) 930-0449
Address
212 HIGH ST APT 3
Enumeration Date
5 May 2015
Last Update Date
16 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
1557679461
Group Practice PAC ID
4486567104
Professional Enrollment ID
I20150925001699
Address ID
MA022155400Bo330XXAVEX300

Contacts

Secure Messaging
Khadija.Bibi.NEOBGYN@direct.partners.masshiway.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for BIBI KHADIJA (PA-C)

  • 212 HIGH ST APT 3

    BROOKLINE, MA 024457037

    Phone: (617) 930-0449

    Type: Mailing

  • 1493 CAMBRIDGE ST

    CAMBRIDGE, MA 021391047

    Phone: (617) 665-1603

    Fax: (617) 665-1976

    Type: Location

  • 27 BOYLSTON ST STE 320

    CHESTNUT HILL, MA 024671747

    Phone: (617) 731-3400

    Fax: (617) 566-2224

    Type: Mailing

  • 200 BOYLSTON ST STE 301

    CHESTNUT HILL, MA 024672008

    Phone: (617) 731-3400

    Fax: (617) 566-2224

    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: 2015-09-25

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
I20150925001699IPhysician AssistantMATBD

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 02445)

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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: 4486567104View full group profile

Reviews

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Frequently asked questions

Is there an official ID for BIBI KHADIJA (PA-C) in U.S. healthcare records?
The official identifier for BIBI KHADIJA (PA-C) is NPI 1457738874.
Is there an active status for BIBI KHADIJA (PA-C)?
For scheduling context, BIBI KHADIJA (PA-C) is shown as active in the registry.
What clinical focus is listed for BIBI KHADIJA (PA-C)?
At a glance, BIBI KHADIJA (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BIBI KHADIJA (PA-C)?
Travel planning: use Brookline, Massachusetts as the reference point for BIBI KHADIJA (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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