KHALED MITWALLY MD
NPI 1821920539
Radiology - Diagnostic Radiology in Springfield, IL

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since May 29, 2026

751 N RUTLEDGE ST RM 1100, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2026, May 29, 2026 (2 updates tracked since 2026).

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About Khaled Mitwally Md NPPES

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

KHALED MITWALLY MD (NPI 1821920539) is an individual diagnostic radiology provider in Springfield, Illinois, licensed in Illinois (125.088049) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1821920539

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameKHALED MITWALLYCredential: MD

Location Address751 N RUTLEDGE ST RM 1100Springfield, IL 62702-4968

Mailing AddressPo Box 19636Springfield, IL 62794-9636

Phone(217) 545-8000

Sole ProprietorNo

Enumeration DateMay 29, 2026

Last NPPES UpdateJune 8, 20262 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1821920539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in IL · 125.088049

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

751 N RUTLEDGE ST RM 1100, Springfield, IL 62702

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Other Providers at the Same Location NPPES 20

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