KHIDIR ABDELMONEIM KHIDIR DALOUK MD
NPI 1386823987
Internal Medicine - Clinical Cardiac Electrophysiology in Portland, OR
About Khidir Abdelmoneim Khidir Dalouk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHIDIR ABDELMONEIM KHIDIR DALOUK MD (NPI 1386823987) is an individual clinical cardiac electrophysiology provider in Portland, Oregon, licensed in Oregon (MD151768) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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
Khidir Abdelmoneim Khidir Dalouk 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Emanuel Medical Center
Acute Care Hospitals · Portland, ORLegacy Good Samaritan Medical Center
Acute Care Hospitals · Portland, ORColumbia Memorial Hospital
Critical Access Hospitals · Astoria, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Khidir Dalouk's NPI number?
The NPI number for Khidir Dalouk is 1386823987. It was assigned to this individual provider in the NPPES registry on October 31, 2007.
Where is Khidir Dalouk located?
Khidir Dalouk practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-1775.
What is Khidir Dalouk's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.
Is Khidir Dalouk enrolled in Medicare?
Yes. Khidir Dalouk 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.
What insurance does Khidir Dalouk accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan and 1 other insurer list Khidir Dalouk 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 Khidir Dalouk affiliated with any hospitals?
According to CMS data, Khidir Dalouk is affiliated with Legacy Emanuel Medical Center, Legacy Good Samaritan Medical Center and Columbia Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Khidir Dalouk was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Khidir Abdelmoneim Khidir Dalouk, MD · NPI 1386823987
Clinical Cardiac Electrophysiology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since October 31, 2007.
## Identity
- **NPI:** 1386823987 (Entity type: Individual)
- **Enumerated:** October 31, 2007
- **Primary specialty:** Internal Medicine - Clinical Cardiac Electrophysiology · taxonomy 207RC0001X
- **State license:** MD151768 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-1775 · **Fax:** (503) 494-4749
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** December 16, 2022
- **Other identifiers:** Medicaid 500640706 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1386823987) · Data from the CMS NPPES public registry.