CAMILLE DORR KHALILY MD
NPI 1356962336
Emergency Medicine in Louisville, KY

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217(502) 636-7225(502) 636-8032 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Camille Dorr Khalily Md NPPES

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

CAMILLE DORR KHALILY MD (NPI 1356962336) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (62066) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356962336
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCAMILLE DORR KHALILYCredential: MD
Location Address1 AUDUBON PLAZA DRLouisville, KY 40217-1318
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(502) 636-8032
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 1, 2020
Last NPPES UpdateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1356962336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 62066
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 AUDUBON PLAZA DR, Louisville, KY 40217

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Camille Dorr Khalily 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 ID6800354846
PECOS Enrollment IDI20260819003358
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 Camille Khalily reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3101 POPLAR LEVEL RD STE 101
Louisville, KY 40213
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 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.

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Registered Nurse (Administrator)
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
General Practice
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Nurse Anesthetist, Certified Registered
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Anesthesiology
1 AUDUBON PLAZA DR, ATTN: RUBY POLTNER
LOUISVILLE, KY 40217
Physician Assistant
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217
Emergency Medicine
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217

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 Camille Khalily's NPI number?

The NPI number for Camille Khalily is 1356962336. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Where is Camille Khalily located?

Camille Khalily practices at 1 Audubon Plaza Dr, Louisville, KY 40217. The listed phone number is (502) 636-7225.

What is Camille Khalily's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Camille Khalily enrolled in Medicare?

Yes. Camille Khalily is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Camille Khalily's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Camille Khalily reassigns Medicare benefits to Community Medical Associates, Inc. (Louisville, KY). 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 Camille Khalily's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Camille Khalily accept?

Health plans from CareSource list Camille Khalily 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.

Is Camille Khalily affiliated with any hospitals?

According to CMS data, Camille Khalily is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Camille Khalily was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.