KHALIL M NASRALLAH (MD) – Neurology Physician, NPI 1619923455

KHALIL M NASRALLAH (MD) is a healthcare provider. based in Clinton twp, Michigan. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 4301079672 (MI). The NPI Number for KHALIL M NASRALLAH (MD) is 1619923455

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KHALIL M NASRALLAH (MD)
NPI
1619923455
Phone
(800) 532-2411
Address
15855 19 Mile Rd
Enumeration Date
25 May 2006
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9896673410
Graduation Year
2001 (25 years ago)
PAC ID
6406868157
Group Practice PAC ID
3971416082
Professional Enrollment ID
I20060620000068
Address ID
MI487062483BA4175XAVEX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

964 NEUROLOGY in MI

Provider Addresses for KHALIL M NASRALLAH (MD)

  • 15855 19 Mile Rd

    Clinton Twp, MI 480383504

    Phone: (800) 532-2411

    Type: Location

  • 2333 Biddle Ave

    Wyandotte, MI 481924668

    Phone: (800) 653-6568

    Type: Location

  • 6777 W Maple Rd

    West Bloomfield, MI 483223013

    Phone: (248) 661-6466

    Type: Location

  • N10561 Grandview Ln

    Ironwood, MI 499389622

    Phone: (906) 932-2290

    Type: Location

  • 2799 W GRAND BOULEVARD NULL

    DETROIT, MI 482679622

    Phone: (313) 916-2000

    Type: Location

  • US 41, West Branch Township, Marquette County, Michigan, United States

    MARQUETTE, MI 498550220

    Phone: (906) 225-3964

    Fax: (906) 226-3875

    Type: Mailing

  • Aspirus Grand View Hospital, N10561, Grandview Lane, Siemens, Ironwood, Bessemer Township, Gogebic County, Michigan, 49938, United States

    IRONWOOD, MI 499389622

    Phone: (906) 932-2290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $2,715.

Total Amount is formed as General ($2,715) + Research ($0) + Ownership ($0) = $2,715.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: ABBVIE INC. ($516).

Total Amount

$2,715

General + Research + Ownership

Payments

118

Total payment records

General Amount

$2,715

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2006-06-20

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
I20060620000068INeurologyMITBD

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
J0585Injection, onabotulinumtoxina, 1 unit10,57014$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes196131$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes125123$0
99214Established patient office or other outpatient visit, 30-39 minutes9882$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5341$0
View full utilization report →

Insurance plans in this area (ZIP 48038)

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Provider's Procedures

KHALIL M NASRALLAH (MD) performs procedures in NEUROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYMI95819Measurement and recording of brain wave (EEG) activity, awake and asleep1111

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: 3971416082View full group profile
NameSpecialtyState
Internal MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Family PracticeMI
Emergency MedicineIL
-GA
Emergency MedicineMI
Emergency MedicineMI
Physician AssistantMI
-MI

Reviews

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Frequently asked questions

How do I look up KHALIL M NASRALLAH (MD) by NPI?
Use NPI 1619923455 when you need to reference KHALIL M NASRALLAH (MD) in forms, claims, or directories.
Is KHALIL M NASRALLAH (MD) active in the national directory?
KHALIL M NASRALLAH (MD)'s public NPI profile is in an active state.
What kind of provider is KHALIL M NASRALLAH (MD)?
The page reflects Neurology Physician for KHALIL M NASRALLAH (MD). Clinical services aligned with this taxonomy classification.
Where does public data place KHALIL M NASRALLAH (MD)?
The snapshot lists Clinton Twp, Michigan for KHALIL M NASRALLAH (MD); download NPPES for the complete set.
Is KHALIL M NASRALLAH (MD) a real provider?
This page reflects official NPPES data for NPI 1619923455. Always confirm identity and privileges with the practice and licensing boards.

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