DR. SAMIR WALID KHALIL MD
NPI 1396087987
Family Medicine in Clifton, NJ

Active since March 21, 2013PECOS EnrolledAccepts Medicare Assignment
1003 MAIN AVE, CLIFTON, NJ 07011(973) 928-3088 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, May 30, 2023, Jun 14, 2017 (3 updates tracked since 2017).

About Dr. Samir Walid Khalil Md NPPES

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

DR. SAMIR WALID KHALIL MD (NPI 1396087987) is an individual family medicine provider in Clifton, New Jersey, licensed in New Jersey (25MA09765900) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396087987
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMIR WALID KHALILCredential: MD
Location Address1003 MAIN AVEClifton, NJ 07011-2333
Mailing Address1025 Linden AveRidgefield, NJ 07657-1006 · (201) 282-7556
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 21, 2013
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1396087987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NJ · 25MA09765900 Licensed in NY · 306082
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09765900 (NJ)
1003 MAIN AVE, Clifton, NJ 07011

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

Dr. Samir Walid Khalil 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 ID5799090833
PECOS Enrollment IDI20160511001132
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07011 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$23.74 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$5.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Family Medicine
1003 MAIN AVE
CLIFTON, NJ 07011
Occupational Therapist
1003 MAIN AVE
CLIFTON, NJ 07011
Specialist
1003 MAIN AVE
CLIFTON, NJ 07011
Occupational Therapy Assistant
1003 MAIN AVE
CLIFTON, NJ 07011
Physical Medicine & Rehabilitation (Pain Medicine)
1003 MAIN AVE
CLIFTON, NJ 07011
Internal Medicine (Infectious Disease)
1003 MAIN AVE
CLIFTON, NJ 07011
Physical Therapist
1003 MAIN AVE
CLIFTON, NJ 07011
Internal Medicine
1003 MAIN AVE
CLIFTON, NJ 07011

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 Samir Khalil's NPI number?

The NPI number for Samir Khalil is 1396087987. It was assigned to this individual provider in the NPPES registry on March 21, 2013.

Where is Samir Khalil located?

Samir Khalil practices at 1003 Main Ave, Clifton, NJ 07011. The listed phone number is (973) 928-3088.

What is Samir Khalil's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samir Khalil enrolled in Medicare?

Yes. Samir Khalil 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.

When was this NPI record last updated?

The NPPES record for Samir Khalil was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.