DR. ANTOINE MICHAEL JR. KHALAF (D.O.) – Internal Medicine Physician, NPI 1558740639

DR. ANTOINE MICHAEL JR. KHALAF (D.O.) is a healthcare provider. based in Holdenville, Oklahoma. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. E-19245 (AR). The NPI Number for DR. ANTOINE MICHAEL JR. KHALAF (D.O.) is 1558740639

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTOINE MICHAEL JR. KHALAF (D.O.)
NPI
1558740639
Phone
(405) 379-4200
Address
100 MCDOUGAL DR
Enumeration Date
22 May 2015
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8708985011
Graduation Year
2015 (11 years ago)
PAC ID
4082972674
Group Practice PAC ID
8628980992
Professional Enrollment ID
I20250502000611
Address ID
AR718223325AS451XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:11State licenses:2Digital endpointsOther names

1,474 INTERNAL MEDICINE in OK

Provider Addresses for DR. ANTOINE MICHAEL JR. KHALAF (D.O.)

  • 100 MCDOUGAL DR

    HOLDENVILLE, OK 748482822

    Phone: (405) 379-4200

    Fax: (405) 379-4340

    Type: Location

  • 311 MORROW ST N

    MENA, AR 719532516

    Phone: (479) 394-6100

    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: 2025-05-02

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
I20180104000370IGeneral PracticeOKTBD
I20250502000611IInternal MedicineARTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes8154$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6946$0
99316Nursing facility discharge management, more than 30 minutes5851$0
99239Hospital discharge day management, more than 30 minutes5550$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3432$0
View full utilization report →

Insurance plans in this area (ZIP 74848)

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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: 8628980992View full group profile
NameSpecialtyState
Emergency Medicine, Obstetrics/Gynecology, Obstetrics/GynecologyMS
Internal MedicineMD
Emergency Medicine, Family PracticeAR
Neurology, Emergency MedicineLA
Internal MedicineWV
Emergency MedicineMS
Emergency MedicineAL
-LA
Emergency Medicine, Internal MedicineMS
Emergency MedicineMD

Reviews

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Frequently asked questions

What identifier follows DR. ANTOINE MICHAEL JR. KHALAF (D.O.) across health systems?
The NPI 1558740639 uniquely identifies DR. ANTOINE MICHAEL JR. KHALAF (D.O.) in U.S. healthcare data.
Does the public listing show DR. ANTOINE MICHAEL JR. KHALAF (D.O.) as active?
DR. ANTOINE MICHAEL JR. KHALAF (D.O.)'s NPI record reflects an active status in NPPES.
What type of care does DR. ANTOINE MICHAEL JR. KHALAF (D.O.) provide?
DR. ANTOINE MICHAEL JR. KHALAF (D.O.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANTOINE MICHAEL JR. KHALAF (D.O.)?
The directory associates DR. ANTOINE MICHAEL JR. KHALAF (D.O.) with Holdenville, Oklahoma. Check all listed addresses for suites or satellite offices.
Who maintains DR. ANTOINE MICHAEL JR. KHALAF (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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