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: July 19, 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
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

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
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



The typical physician office visit costs for Medicare beneficiaries in this area are: $24.41 for a new patient copayment and $19.71 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02110 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $97.64
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $24.41
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $78.84
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $19.71
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Physician Assistant
80 SUMMER ST
BOSTON, MA 02110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407696917, enumerated as an "individual" on May 31, 2024.

The provider is located at 80 SUMMER ST BOSTON, MA 02110 and the phone number is (857) 353-6397.

Physician Assistant with taxonomy code 363A00000X.