SHADI RADY KHILLAH DDS
NPI 1124433396
Dentist in Galesburg, MI

Q: What is Shadi Khillah's NPI number?

The NPI number for Shadi Khillah is 1124433396. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Q: What is Shadi Khillah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Shadi Khillah was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2014PECOS Enrolled

357 E MICHIGAN AVE, GALESBURG, MI 49053(269) 665-9997(269) 665-5088 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shadi Rady Khillah Dds NPPES

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

SHADI RADY KHILLAH DDS (NPI 1124433396) is an individual dentist in Galesburg, Michigan, licensed in Michigan (2901021326) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124433396

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSHADI RADY KHILLAHCredential: DDS

Location Address357 E MICHIGAN AVEGalesburg, MI 49053-9763

Mailing Address357 E Michigan AveGalesburg, MI 49053-9763 · (269) 665-9997 · Fax (269) 665-5088

Phone(269) 665-9997

Fax(269) 665-5088

Sole ProprietorYes

Enumeration DateJune 26, 2014

Last NPPES UpdateApril 17, 2017

✔ NPI 1124433396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901021326

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

357 E MICHIGAN AVE, Galesburg, MI 49053

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadi Rady Khillah Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49053 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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

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

GALESBURG DENTAL CARE

Clinic/Center (Dental)

357 E MICHIGAN AVE
GALESBURG, MI 49053

Kalamazoo County (269) 665-9997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shadi Khillah's NPI number?

The NPI number for Shadi Khillah is 1124433396. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Shadi Khillah located?

Shadi Khillah practices at 357 E Michigan Ave, Galesburg, MI 49053. The listed phone number is (269) 665-9997.

What is Shadi Khillah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Shadi Khillah enrolled in Medicare?

Yes. Shadi Khillah is registered in the Medicare PECOS enrollment system.

What insurance does Shadi Khillah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 12 other insurers list Shadi Khillah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shadi Khillah was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.