BASMA KHALIL MD
NPI 1801135322
Internal Medicine in Ebensburg, PA

Q: 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.

Q: What is Basma Khalil's specialty?

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

Q: 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.

Active since February 04, 2013PECOS Enrolled

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: October 25, 2026.

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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.

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

Phone(814) 471-6595

Fax(814) 471-6675

Sole ProprietorNo

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

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Basma Khalil Md 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

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

Dlp Conemaugh Physician Practices LLC

Same address

Family Medicine

236 JAMESWAY RD
Ebensburg, PA 15931

Reassigned Medicare billing, Pennsylvania enrollment
771 clinicians in this Medicare group

NPI 1982098927 (814) 471-6595

Personal Care Medical Associates LLC

76 mi

Hospice and Palliative Medicine

2000 CLIFFMINE RD STE 500
Pittsburgh, PA 15275

Reassigned Medicare billing, Pennsylvania enrollment
96 clinicians in this Medicare group

NPI 1922427962 (878) 201-3312

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 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

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

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.

LINDA DIANE MARDULA PA-C

Physician Assistant (Medical)