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RYAN KHALIFA PA
NPI 1407696917
Physician Assistant in Boston, MA

Active since May 31, 2024PECOS EnrolledAccepts Medicare Assignment
80 SUMMER ST, BOSTON, MA 02110(857) 353-6397 Get Directions Write a Review

NPPES record last updated: March 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan Khalifa Pa NPPES

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

RYAN KHALIFA PA (NPI 1407696917) is an individual physician assistant in Boston, Massachusetts, licensed in Massachusetts (PA101399) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407696917
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRYAN KHALIFACredential: PA
Location Address80 SUMMER STBoston, MA 02110-1218
Mailing Address80 Summer StBoston, MA 02110-1218 · (857) 353-6397
Phone(857) 353-6397
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 31, 2024
Last NPPES UpdateMarch 29, 2026
NPPES CertifiedMarch 29, 2026
✔ NPI 1407696917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · PA101399✔ Licensed in NH · 3644
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
80 SUMMER ST, Boston, MA 02110
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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

Ryan Khalifa Pa 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 ID1254830953
PECOS Enrollment IDI20250819003240, I20260413000193
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 02110 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

ALEXANDRA SROLOVITZ
Physician Assistant
80 SUMMER ST
BOSTON, MA 02110
Suffolk County (857) 353-6397

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 Ryan Khalifa's NPI number?

The NPI number for Ryan Khalifa is 1407696917. It was assigned to this individual provider in the NPPES registry on May 31, 2024.

Where is Ryan Khalifa located?

Ryan Khalifa practices at 80 Summer St, Boston, MA 02110. The listed phone number is (857) 353-6397.

What is Ryan Khalifa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ryan Khalifa enrolled in Medicare?

Yes. Ryan Khalifa 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 Ryan Khalifa was last updated on March 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.