TAREK KHALIL (OD) – Optometrist, NPI 1457100067

TAREK KHALIL (OD) is a healthcare provider. based in Potomac falls, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 0618003413 (VA). The NPI Number for TAREK KHALIL (OD) is 1457100067

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
TAREK KHALIL (OD)
NPI
1457100067
Phone
(703) 766-6165
Address
21135 WHITFIELD PL
Enumeration Date
15 May 2024
Last Update Date
19 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7036988880
Graduation Year
2024 (2 years ago)
PAC ID
1052859543
Group Practice PAC ID
8820133929
Professional Enrollment ID
I20241025000261
Address ID
VA220314638FA3031XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

Provider Addresses for TAREK KHALIL (OD)

  • 21135 WHITFIELD PL

    POTOMAC FALLS, VA 201657283

    Phone: (703) 766-6165

    Fax: (703) 345-9356

    Type: Mailing

  • 21135 WHITFIELD PL STE 102

    POTOMAC FALLS, VA 201657279

    Phone: (703) 766-6165

    Fax: (703) 345-9356

    Type: Location

  • 10338 Bristow Center Dr

    Bristow, VA 201362201

    Phone: (703) 392-1010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $232.

Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Alcon Vision LLC ($125).

Total Amount

$232

General + Research + Ownership

Payments

5

Total payment records

General Amount

$232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2024-10-25

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
I20240815000598IOptometryVATBD
I20241025000261IOptometryDCTBD

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 20165)

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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: 8820133929View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YVA

Reviews

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Frequently asked questions

Can I verify TAREK KHALIL (OD) with an NPI only?
You can start verification with NPI 1457100067 for TAREK KHALIL (OD), then check state licensing separately.
Does CMS list TAREK KHALIL (OD) as active?
Yes — TAREK KHALIL (OD) is active in the NPI listing used on this page.
What is TAREK KHALIL (OD)'s primary classification?
Optometrist is the headline specialty for TAREK KHALIL (OD) here. Clinical services aligned with this taxonomy classification.
What area does TAREK KHALIL (OD) serve?
TAREK KHALIL (OD)'s listing highlights Potomac Falls, Virginia; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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