BASMA KHALIL MD
NPI 1801135322
Internal Medicine in Ebensburg, PA

Active since February 04, 2013PECOS EnrolledAccepts Medicare Assignment
236 JAMESWAY RD, EBENSBURG, PA 15931(814) 471-6595(814) 471-6675 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Basma Khalil Md NPPES

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

BASMA KHALIL MD (NPI 1801135322) is an individual internal medicine provider in Ebensburg, Pennsylvania, licensed in Pennsylvania (MD447755) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Acmh Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1801135322
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBASMA KHALILCredential: MD
Location Address236 JAMESWAY RDEbensburg, PA 15931-4207
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8331
Fax(814) 471-6675
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateFebruary 4, 2013
Last NPPES UpdateApril 4, 2019
NPI 1801135322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD447755
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
236 JAMESWAY RD, Ebensburg, PA 15931

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

Basma Khalil Md 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 ID7416102785
PECOS Enrollment IDI20130313000147
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
359 services110 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
76 services40 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
44 services29 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
37 services23 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
14 services11 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15931 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 6

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

Physician Assistant (Medical)
236 JAMESWAY RD
EBENSBURG, PA 15931
Internal Medicine (Nephrology)
236 JAMESWAY RD
EBENSBURG, PA 15931
Family Medicine
236 JAMESWAY RD
EBENSBURG, PA 15931
Physician Assistant (Medical)
236 JAMESWAY RD
EBENSBURG, PA 15931
Durable Medical Equipment & Medical Supplies
236 JAMESWAY RD
EBENSBURG, PA 15931
Family Medicine
236 JAMESWAY RD
EBENSBURG, PA 15931

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 Basma Khalil's NPI number?

The NPI number for Basma Khalil is 1801135322. It was assigned to this individual provider in the NPPES registry on February 4, 2013.

Where is Basma Khalil located?

Basma Khalil practices at 236 Jamesway Rd, Ebensburg, PA 15931. The listed phone number is (814) 471-6595.

What is Basma Khalil's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Basma Khalil enrolled in Medicare?

Yes. Basma Khalil 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.

Is Basma Khalil affiliated with any hospitals?

According to CMS data, Basma Khalil is affiliated with Acmh Hospital.

When was this NPI record last updated?

The NPPES record for Basma Khalil was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.