AHMED ALI KHALIFA
NPI 1124647177
Student in an Organized Health Care Education/Training Program in New Brunswick, NJ

Active since April 09, 2020PECOS Enrolled
254 EASTON AVE, NEW BRUNSWICK, NJ 08901(732) 745-8600 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ahmed Ali Khalifa NPPES

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

AHMED ALI KHALIFA (NPI 1124647177) is an individual student in an organized health care education/training program in New Brunswick, New Jersey and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124647177
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAHMED ALI KHALIFA
Location Address254 EASTON AVENew Brunswick, NJ 08901-1766
Mailing Address254 Easton AveNew Brunswick, NJ 08901-1766
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1124647177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
254 EASTON AVE, New Brunswick, NJ 08901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Ali Khalifa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113428228
PECOS Enrollment IDI20260728003077
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.

Medicare Billing Reassignment

Medicare enrollment records show Ahmed Khalifa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117
  • Reassigned Medicare billing, Florida enrollment
  • 733 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Pharmacist
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Internal Medicine (Critical Care Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Genetic Counselor, MS
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Student in an Organized Health Care Education/Training Program
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Pediatrics (Neonatal-Perinatal Medicine)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
254 EASTON AVE, PEDIATRIC NEUROLOGY
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Acute Care)
254 EASTON AVE
NEW BRUNSWICK, NJ 08901

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 Ahmed Khalifa's NPI number?

The NPI number for Ahmed Khalifa is 1124647177. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Ahmed Khalifa located?

Ahmed Khalifa practices at 254 Easton Ave, New Brunswick, NJ 08901. The listed phone number is (732) 745-8600.

What is Ahmed Khalifa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ahmed Khalifa enrolled in Medicare?

Yes. Ahmed Khalifa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ahmed Khalifa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Khalifa reassigns Medicare benefits to Florida Hospital Healthcare Partners, Inc (Daytona Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ahmed Khalifa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmed Khalifa accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and Health First Commercial Plans, Inc. and 2 other insurers list Ahmed Khalifa 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 Ahmed Khalifa was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.