DR. ALI A. KHAKI M.D.
NPI 1477591923
Surgery in Lincoln City, OR
About Dr. Ali A. Khaki M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALI A. KHAKI M.D. (NPI 1477591923) is an individual surgery provider in Lincoln City, Oregon, licensed in Oregon (MD23308) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Samaritan North Lincoln Hospital, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Ali A. Khaki M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ali Khaki reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lincoln City, OR 97367
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1841554177 (Oregon)
- 277 clinicians in this Medicare group
Depoe Bay, OR 97341
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1912257460 (Oregon)
- 332 clinicians in this Medicare group
Newport, OR 97365
- Reassigned Medicare billing, Oregon enrollment
- Also billed through NPI 1508122763 (Oregon)
- 416 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.
Samaritan North Lincoln Hospital
Critical Access Hospitals · Lincoln City, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97367 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ali Khaki's NPI number?
The NPI number for Ali Khaki is 1477591923. It was assigned to this individual provider in the NPPES registry on June 4, 2006.
Where is Ali Khaki located?
Ali Khaki practices at 3100 NE 28th St Ste E, Lincoln City, OR 97367. The listed phone number is (541) 994-8114.
What is Ali Khaki's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Ali Khaki enrolled in Medicare?
Yes. Ali Khaki 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 organizations bill Medicare for Ali Khaki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ali Khaki reassigns Medicare benefits to 3 organizations: Samaritan North Lincoln Hospital (Lincoln City, OR), Samaritan Pacific Health Services, Inc (Depoe Bay, OR) and Mid-Valley Healthcare Inc (Newport, OR). Each 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 Ali Khaki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ali Khaki accept?
Health plans from BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ali Khaki 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 Ali Khaki affiliated with any hospitals?
According to CMS data, Ali Khaki is affiliated with Samaritan North Lincoln Hospital.
When was this NPI record last updated?
The NPPES record for Ali Khaki was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Ali A. Khaki, M.D. · NPI 1477591923
Surgery physician in Lincoln City, Oregon. Individual provider, active in the CMS NPPES registry since June 4, 2006.
## Identity
- **NPI:** 1477591923 (Entity type: Individual)
- **Enumerated:** June 4, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD23308 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3100 NE 28TH ST STE E, Lincoln City, OR 97367-4524
- **Phone:** (541) 994-8114
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Samaritan North Lincoln Hospital (NPI 1942698154, Lincoln City, OR); Samaritan Pacific Health Services, Inc (NPI 1164781142, Depoe Bay, OR); Mid-Valley Healthcare Inc (NPI 1740087899, Newport, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** November 4, 2020
- **Other identifiers:** Medicaid 074703 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1477591923) · Data from the CMS NPPES public registry.