DR. KATHERINE W KHALIFEH (MD) – Colon & Rectal Surgery Physician, NPI 1043356843
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
68 COLORECTAL SURGERY (PROCTOLOGY) in VA
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Provider Addresses for DR. KATHERINE W KHALIFEH (MD)
2710, Prosperity Avenue, Merrifield, Fairfax (city), Virginia, 22031, United States
SUITE 200
FAIRFAX, VA 220314357
Phone: (703) 280-2841
Type: Mailing
8081 Innovation Park Dr
Fairfax, VA 220314867
Phone: (571) 472-4724
Fax: (571) 472-1601
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $130.
Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($130).
Total Amount
$130
General + Research + Ownership
Payments
1
Total payment records
General Amount
$130
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $130 |
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: 2015-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (892 days ago).
Enrollment records
2
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121102000368 | I | Colorectal Surgery (Proctology) | DC | TBD |
| I20151209000009 | I | Colorectal Surgery (Proctology) | VA | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 46600 | Diagnostic exam of anus using an endoscope | 112 | 98 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 68 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 66 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 45 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 51 | 51 | $0 |
Insurance plans in this area (ZIP 22031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | UT | |
| Physician Assistant | VA | |
| Colorectal Surgery (Proctology), General Surgery | VA | |
| Colorectal Surgery (Proctology) | VA | |
| General Surgery, Colorectal Surgery (Proctology) | VA | |
| Colorectal Surgery (Proctology), General Surgery | VA | |
| General Surgery, Colorectal Surgery (Proctology) | VA | |
| General Surgery, Colorectal Surgery (Proctology) | DC |
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