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DR. ANTHONY P. KHALIFAH M.D.
NPI 1578772174
Internal Medicine - Critical Care Medicine in Lakewood, CO

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
91.91/100
CMS Quality Rating
274 UNION BLVD, SUITE #110, LAKEWOOD, CO 80228(303) 388-4461(303) 270-2174 Get Directions Write a Review

NPPES record last updated: July 1, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Anthony P. Khalifah M.d. NPPES

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

DR. ANTHONY P. KHALIFAH M.D. (NPI 1578772174) is an individual critical care medicine provider in Lakewood, Colorado, licensed in Colorado (49354) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Goodland Regional Medical Center, and is a graduate of Vanderbilt University School Of Medicine (2004).

NPPES Registry Identity

NPI1578772174
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ANTHONY P. KHALIFAHCredential: M.D.
Location Address274 UNION BLVD, SUITE #110Lakewood, CO 80228
Mailing Address274 Union Blvd, Suite #110Lakewood, CO 80228-1813 · (303) 388-4461 · Fax (303) 270-2174
Phone(303) 388-4461
Fax(303) 270-2174
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2004
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 1, 2018
✔ NPI 1578772174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CO · 49354
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
274 UNION BLVD, Lakewood, CO 80228
Open in Google Maps ↗

Other Identifiers 1

Medicaid04594040CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware 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 and accepts Medicare assignment

Dr. Anthony P. Khalifah 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.

PECOS PAC ID7416040951
PECOS Enrollment IDI20101213000088, I20220919001383
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

2

Medicare enrollment records show Anthony Khalifah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Pulmonary And Sleep Associates Professional LLP
Same address
Critical Care Medicine
274 UNION BLVD STE 200
Lakewood, CO 80228
  • Reassigned Medicare billing, Colorado enrollment
  • 67 clinicians in this Medicare group
NPI 1437100039 (303) 951-0600
Goodland Regional Medical Center
184 mi
Family Medicine
106 WILLOW RD
Goodland, KS 67735
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1598839045 (Kansas)
  • 19 clinicians in this Medicare group
NPI 1467594366 (785) 890-6075

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

Areas of Expertise CMS Part B claims 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
189 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services69 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services20 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
15 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Goodland Regional Medical Center

Critical Access Hospitals · Goodland, KS
OwnershipGovernment - Local
CMS Certification Number171370
Location220 West Second StreetGoodland, KS 67735 · Sherman County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

91.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.13
Promoting Interoperability100
Improvement Activities40
Cost67.87

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
44%66 patients2/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
2%109 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
42%112 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
17%29 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
97%29 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
79%1,591 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%348 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
43%118 patients2/55-star benchmark: 99%
Initiation and Engagement of Alcohol and Other Drug Dependence Treatment
Percentage of patients 13 years of age and older with a new episode of alcohol and other drug (AOD) dependence who received the following. Two rates are reported.
4%141 patients1/55-star benchmark: 59%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%231 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%182 patients5/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
87%120 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
55%913 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
77%129 patients4/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
21%638 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 96% · 118 patients
100%118 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%182 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%182 patients2/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 120 patients
1%120 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
34%182 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers40 claims40 services$86.71 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$33.95 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$23.79 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 20

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

DR. PAULA F DENNEN M.D.
Internal Medicine (Critical Care Medicine)
274 UNION BLVD, SUITE 110
LAKEWOOD, CO 80228
Jefferson County (303) 951-0600
MEREDITH BECK P.T.
Physical Therapist
274 UNION BLVD, STE. 100
LAKEWOOD, CO 80228
Jefferson County (303) 232-9391
MRS. ABBY TOPEL DORNAN
Speech-Language Pathologist
274 UNION BLVD
LAKEWOOD, CO 80228
Jefferson County (847) 721-4961
MRS. VICTORIA EVE CARRILLO FNP-C
Nurse Practitioner (Primary Care)
274 UNION BLVD
LAKEWOOD, CO 80228
Jefferson County (303) 327-4700
DR. DARREN M. BOE M.D.
Internal Medicine (Critical Care Medicine)
274 UNION BLVD, SUITE 110
LAKEWOOD, CO 80228
Jefferson County (303) 951-0600
LINDSEY NICCOLE WILLIAMS FNP
Nurse Practitioner (Family)
274 UNION BLVD
LAKEWOOD, CO 80228
Jefferson County (303) 619-5489
DR. ERIC STRAMEL DO
Internal Medicine (Critical Care Medicine)
274 UNION BLVD, SUITE 110
LAKEWOOD, CO 80228
Jefferson County (303) 951-0600
NALIN J MEHTA MD PC
Ophthalmology
274 UNION BLVD, SUITE 120
LAKEWOOD, CO 80228
Jefferson County (303) 893-5138

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 Anthony Khalifah's NPI number?

The NPI number for Anthony Khalifah is 1578772174. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Anthony Khalifah located?

Anthony Khalifah practices at 274 Union Blvd Suite #110, Lakewood, CO 80228. The listed phone number is (303) 388-4461.

What is Anthony Khalifah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Anthony Khalifah enrolled in Medicare?

Yes. Anthony Khalifah 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 Anthony Khalifah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Khalifah reassigns Medicare benefits to 2 organizations: Critical Care Pulmonary And Sleep Associates Professional LLP (Lakewood, CO) and Goodland Regional Medical Center (Goodland, KS). 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 Anthony Khalifah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Khalifah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. list Anthony Khalifah 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 Anthony Khalifah affiliated with any hospitals?

According to CMS data, Anthony Khalifah is affiliated with Goodland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Khalifah was last updated on July 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.