Nidal A Khalili MD, INC – Neurology Physician, NPI 1710791306

Nidal A Khalili MD, INC is a healthcare provider. based in Sacramento, California. specializing in Neurology Physician. The NPI Number for Nidal A Khalili MD, INC is 1710791306

Main info

Organization
Name
Nidal A Khalili MD, INC
NPI
1710791306
Phone
(916) 681-9401
Address
7551 TIMBERLAKE WAY STE 240
Authorized Official
CHARLENE M MONSON-PICOU BILLING
Enumeration Date
4 February 2025
Last Update Date
4 February 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness80
Years active:1State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Nidal A Khalili MD, INC

  • 7551 TIMBERLAKE WAY STE 240

    SACRAMENTO, CA 958235422

    Phone: (916) 681-9401

    Fax: (916) 684-9401

    Type: Mailing

  • 1615 Creekside Dr Ste 100

    Folsom, CA 956303491

    Phone: (916) 984-9982

    Fax: (916) 684-9417

    Type: Location

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: 2019-10-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (77 days away).

Enrollment records

1

Earliest due date

2026-08-31

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
O20191022001908OClinic/Group PracticeCA2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 95823)

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Reviews

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Frequently asked questions

How is Nidal A Khalili MD, INC identified in CMS data?
CMS-hosted NPPES data lists Nidal A Khalili MD, INC with NPI 1710791306.
Does the file indicate Nidal A Khalili MD, INC is practicing under active NPI?
Directory data currently reports Nidal A Khalili MD, INC as active.
What taxonomy line describes Nidal A Khalili MD, INC?
For research purposes, treat Nidal A Khalili MD, INC as Neurology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Nidal A Khalili MD, INC?
Nidal A Khalili MD, INC's geographic hint is Sacramento, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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