DR. KHALIL BOURJI (M.D., PH.D.) – Rheumatology Physician, NPI 1184070815

DR. KHALIL BOURJI (M.D., PH.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in RHEUMATOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 4351044438 (MI). The NPI Number for DR. KHALIL BOURJI (M.D., PH.D.) is 1184070815

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. KHALIL BOURJI (M.D., PH.D.)
NPI
1184070815
Phone
(702) 380-8118
Address
1200 S 4TH ST
Enumeration Date
12 May 2016
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4808679300
Graduation Year
2011 (15 years ago)
PAC ID
7113218108
Group Practice PAC ID
2961649207
Professional Enrollment ID
I20251108000511
Address ID
AZ852821411TE2226XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:10State licenses:3Digital endpointsOther names

44 RHEUMATOLOGY in NV

Provider Addresses for DR. KHALIL BOURJI (M.D., PH.D.)

  • 1200 S 4TH ST

    LAS VEGAS, NV 891041063

    Phone: (702) 380-8118

    Type: Location

  • 37725 Pembroke Ave

    Livonia, MI 481521053

    Phone: (313) 205-3330

    Type: Location

  • 4, Saint Antoine Street, Renaissance Center, Detroit, Wayne County, Michigan, 48226, United States

    DETROIT, MI 48201

    Phone: (667) 213-9355

    Type: Location

  • 37725 PEMBROKE AVE

    LIVONIA, MI 481521053

    Phone: (313) 205-3330

    Type: Mailing

  • 200 E HORIZON DR

    HENDERSON, NV 890158033

    Phone: (702) 380-8118

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 131 Open Payments records for all available years, with a total value of $3,017.

Total Amount is formed as General ($3,017) + Research ($0) + Ownership ($0) = $3,017.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: ABBVIE INC. ($1,462).

Total Amount

$3,017

General + Research + Ownership

Payments

131

Total payment records

General Amount

$3,017

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2025-11-08

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
I20210614002898IRheumatologyNVTBD
I20251108000511IRheumatologyAZTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 89104)

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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: 2961649207View full group profile
NameSpecialtyState
Nurse PractitionerNV
-NV
Nurse PractitionerCO
Infectious DiseaseNV
Nurse PractitionerNV
-NV
Nurse PractitionerNV
-NV
Internal Medicine, Pediatric MedicineNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What identifier follows DR. KHALIL BOURJI (M.D., PH.D.) across health systems?
The NPI 1184070815 uniquely identifies DR. KHALIL BOURJI (M.D., PH.D.) in U.S. healthcare data.
Does the public listing show DR. KHALIL BOURJI (M.D., PH.D.) as active?
DR. KHALIL BOURJI (M.D., PH.D.)'s NPI record reflects an active status in NPPES.
What services align with DR. KHALIL BOURJI (M.D., PH.D.)'s listing?
DR. KHALIL BOURJI (M.D., PH.D.)'s public classification highlights Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KHALIL BOURJI (M.D., PH.D.)?
DR. KHALIL BOURJI (M.D., PH.D.) is associated with Las Vegas, Nevada in the same public data insurers reference.
Why is information missing for DR. KHALIL BOURJI (M.D., PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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