RAHIL SHARIATZADEH KHALILI (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1750096301

RAHIL SHARIATZADEH KHALILI (APRN) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 211093 (OK). The NPI Number for RAHIL SHARIATZADEH KHALILI (APRN) is 1750096301

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
RAHIL SHARIATZADEH KHALILI (APRN)
NPI
1750096301
Phone
(405) 632-6688
Address
3000 N GRAND BLVD
Enumeration Date
18 January 2023
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056326688
Graduation Year
2022 (4 years ago)
PAC ID
9234596271
Group Practice PAC ID
1557260007
Professional Enrollment ID
I20231201000382
Address ID
OK731093540OK500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for RAHIL SHARIATZADEH KHALILI (APRN)

  • 3000 N GRAND BLVD

    OKLAHOMA CITY, OK 731071818

    Phone: (405) 632-6688

    Type: Mailing

  • 508 W VANDAMENT AVE STE 210

    YUKON, OK 730994666

    Phone: (405) 632-6688

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: ABBVIE INC. ($190).

Total Amount

$319

General + Research + Ownership

Payments

8

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

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: 2023-12-01

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
I20231201000382INurse PractitionerOKTBD

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 73107)

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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: 1557260007View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Nurse PractitionerOK
-OK
Family PracticeOK
Certified Nurse Midwife (Cnm)OK
Family PracticeOK
Family PracticeOK
-OK
Internal MedicineOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do payers reference RAHIL SHARIATZADEH KHALILI (APRN)?
For RAHIL SHARIATZADEH KHALILI (APRN), use NPI 1750096301 as the unique 10-digit identifier.
Active or inactive — what applies to RAHIL SHARIATZADEH KHALILI (APRN)?
You should see RAHIL SHARIATZADEH KHALILI (APRN) as active in CMS-hosted NPPES data.
What clinical focus is listed for RAHIL SHARIATZADEH KHALILI (APRN)?
At a glance, RAHIL SHARIATZADEH KHALILI (APRN) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with RAHIL SHARIATZADEH KHALILI (APRN)?
Directory geography for RAHIL SHARIATZADEH KHALILI (APRN) centers on Oklahoma City, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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