AHMED KHALAFALLA MD
NPI 1043897119
Internal Medicine in Stuart, FL

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
200 SE HOSPITAL AVE, STUART, FL 34994(772) 287-5200(772) 288-5834 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 29, 2024, Jun 12, 2024, Mar 25, 2021 (3 updates tracked since 2021).

About Ahmed Khalafalla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AHMED KHALAFALLA MD (NPI 1043897119) is an individual internal medicine provider in Stuart, Florida, licensed in Florida (ME167476) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1043897119
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAHMED KHALAFALLACredential: MD
Location Address200 SE HOSPITAL AVEStuart, FL 34994-2346
Mailing Address200 Se Hospital AveStuart, FL 34994-2346
Fax(772) 288-5834
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 25, 2021
Last NPPES UpdateJune 29, 20243 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
NPI 1043897119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME167476
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License ME167476 (FL)
200 SE HOSPITAL AVE, Stuart, FL 34994

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ahmed Khalafalla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981008703
PECOS Enrollment IDI20240805001037
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
59 services59 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE, ANESTHESIA DEPARTMENT
STUART, FL 34994
Pathology (Anatomic Pathology & Clinical Pathology)
200 SE HOSPITAL AVE, PATHOLOGY DEPARTMENT
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994
Internal Medicine (Pulmonary Disease)
200 SE HOSPITAL AVE
STUART, FL 34994
Emergency Medicine
200 SE HOSPITAL AVE
STUART, FL 34994
Radiology (Diagnostic Radiology)
200 SE HOSPITAL AVE
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994
Nurse Anesthetist, Certified Registered
200 SE HOSPITAL AVE
STUART, FL 34994

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043897119, enumerated as an "individual" on March 25, 2021.

The provider is located at 200 SE HOSPITAL AVE STUART, FL 34994 and the phone number is (772) 287-5200.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.

Ahmed Khalafalla is affiliated with: CLEVELAND CLINIC MARTIN NORTH HOSPITAL.