KHALDOUN M AL-RAYESS (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1003808122

KHALDOUN M AL-RAYESS (MD) is a healthcare provider. based in Layton, Utah. specializing in INTERNAL MEDICINE, ENDOCRINOLOGY. They hold the professional credentials MD. They hold a License No. 5804089 (UT). The NPI Number for KHALDOUN M AL-RAYESS (MD) is 1003808122

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
KHALDOUN M AL-RAYESS (MD)
NPI
1003808122
Phone
(801) 773-4840
Address
2121 N 1700 W
Enumeration Date
16 August 2005
Last Update Date
16 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017734840
Graduation Year
2005 (21 years ago)
PAC ID
2668408337
Group Practice PAC ID
4284547985
Professional Enrollment ID
I20050713001067
Address ID
UT840418803LA2121X1700300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

903 INTERNAL MEDICINE in UT

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Provider Addresses for KHALDOUN M AL-RAYESS (MD)

  • 1700 West, Evergreen Farms, Layton, Davis County, Utah, 84041, United States

    LAYTON, UT 840418803

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Location

  • PO BOX 337

    LAYTON, UT 840410337

    Phone: (801) 773-4840

    Fax: (801) 525-8151

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 161 Open Payments records for all available years, with a total value of $3,011.

Total Amount is formed as General ($3,011) + Research ($0) + Ownership ($0) = $3,011.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($385).

Total Amount

$3,011

General + Research + Ownership

Payments

161

Total payment records

General Amount

$3,011

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2005-07-13

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
I20050713001067IInternal MedicineUTTBD

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
J0897Injection, denosumab, 1 mg1,20015$0
36415Insertion of needle into vein for collection of blood sample541272$0
80053Blood test, comprehensive group of blood chemicals478258$0
84443Blood test, thyroid stimulating hormone (tsh)364218$0
84439Thyroxine (thyroid chemical), free345204$0
View full utilization report →

Insurance plans in this area (ZIP 84041)

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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: 4284547985View full group profile
NameSpecialtyState
Nurse PractitionerUT
Family PracticeUT
Physician AssistantUT
Family PracticeUT
-UT
O T O L A R Y N G O L O G YUT
Physician AssistantAZ
Qualified AudiologistUT
Certified Registered Nurse Anesthetist (Crna)UT
Physician AssistantUT

Reviews

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Frequently asked questions

Can I use this page to confirm KHALDOUN M AL-RAYESS (MD)'s NPI?
Yes. KHALDOUN M AL-RAYESS (MD) is listed with NPI 1003808122 in the public NPI dataset.
Is KHALDOUN M AL-RAYESS (MD) still practicing?
KHALDOUN M AL-RAYESS (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes KHALDOUN M AL-RAYESS (MD)?
For research purposes, treat KHALDOUN M AL-RAYESS (MD) as Endocrinology, Diabetes & Metabolism Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does KHALDOUN M AL-RAYESS (MD) list a practice location?
Patients near Layton, Utah may find KHALDOUN M AL-RAYESS (MD) in results; validate coverage separately.
Is the information about KHALDOUN M AL-RAYESS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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