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MOHAMED KHALIFA
NPI 1528467552
Pediatrics in Twin Falls, ID

Active since August 14, 2014PECOS Enrolled
801 POLE LINE RD W, TWIN FALLS, ID 83301(208) 381-2645 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2023, Nov 4, 2022, Sep 16, 2022 and 1 more (4 updates tracked since 2022).

About Mohamed Khalifa NPPES

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

MOHAMED KHALIFA (NPI 1528467552) is an individual pediatrics provider in Twin Falls, Idaho, licensed in Texas (S1427) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528467552
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMOHAMED KHALIFA
Location Address801 POLE LINE RD WTwin Falls, ID 83301-5810
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-2645
Sole ProprietorYes
Enumeration DateAugust 14, 2014
Last NPPES UpdateMay 12, 20234 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1528467552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · S1427✔ Licensed in ID · MC-1489
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License S1427 (TX)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
801 POLE LINE RD W, Twin Falls, ID 83301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11935 Medical District DrDallas, TX 75235-7701 · Phone (347) 798-6799
Location 2800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-7587

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohamed Khalifa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mohamed Khalifa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Luke's Clinic LLC
Same address
Family Medicine
775 POLE LINE RD W
Twin Falls, ID 83301
  • Reassigned Medicare billing, Idaho enrollment
  • Medicare enrollment name: St Lukes Clinic LLC
  • 322 clinicians in this Medicare group
NPI 1790718229 (208) 814-1000
Pokroy Medical Group Of Nevada, Ltd.
444 mi
Neonatal-Perinatal Medicine
653 N TOWN CENTER DR STE 112
Las Vegas, NV 89144
  • Reassigned Medicare billing, Nevada enrollment
  • 150 clinicians in this Medicare group
NPI 1992809412 (702) 733-0981
Christus Trinity Clinic Texas
1,265 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Board Of Trustees Of The University Of Illinois
1,280 mi
Family Medicine
405 CHARLES ST
Mt Morris, IL 61054
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1033157755 (815) 734-6061

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

MR. CHET DANSIE CRNA
Nurse Anesthetist, Certified Registered
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-1000
SHALYCE ANDERSON
Social Worker
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 670-5214
GINA GRIFFITHS PIPER PHD CCC-SLP
Speech-Language Pathologist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (541) 381-1100
JOSEPH MURDOCK STROBEL D.O.
Hospitalist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-4100
DANIEL SCOTT JOHNSON
Nurse Anesthetist, Certified Registered
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 734-7362
GARRETT J SASSE
Social Worker (Clinical)
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-1000
ALISON KIRKPATRICK OTR
Occupational Therapist
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (562) 234-2903
VALERIA CARDONA LOPEZ CSFA
Specialist/Technologist, Other (Surgical Assistant)
801 POLE LINE RD W
TWIN FALLS, ID 83301
Twin Falls County (208) 814-1000

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 Mohamed Khalifa's NPI number?

The NPI number for Mohamed Khalifa is 1528467552. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Mohamed Khalifa located?

Mohamed Khalifa practices at 801 Pole Line Rd W, Twin Falls, ID 83301. The listed phone number is (208) 381-2645.

What is Mohamed Khalifa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mohamed Khalifa enrolled in Medicare?

Yes. Mohamed Khalifa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mohamed Khalifa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Khalifa reassigns Medicare benefits to 4 organizations: St Luke's Clinic LLC (Twin Falls, ID), Pokroy Medical Group Of Nevada, Ltd. (Las Vegas, NV), Christus Trinity Clinic Texas (Tyler, TX) and Board Of Trustees Of The University Of Illinois (Mt Morris, IL). 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 Mohamed Khalifa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Khalifa accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Moda Health Plan, Inc. and Providence Health Plan list Mohamed Khalifa 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.

When was this NPI record last updated?

The NPPES record for Mohamed Khalifa was last updated on May 12, 2023. 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.