DR. KHALID ABDULLAH ALFARES
NPI 1952890683
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 08, 2018PECOS Enrolled
3031 W GRAND BLVD FL 8, DETROIT, MI 48202(313) 916-4988 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2021, Jun 10, 2021, May 8, 2018 (3 updates tracked since 2018).

About Dr. Khalid Abdullah Alfares NPPES

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

DR. KHALID ABDULLAH ALFARES (NPI 1952890683) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4301114838) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1952890683
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KHALID ABDULLAH ALFARES
Location Address3031 W GRAND BLVD FL 8Detroit, MI 48202-3046
Mailing Address3031 W Grand Blvd Fl 8Detroit, MI 48202-3046 · (313) 916-4988
Sole ProprietorYes
Enumeration DateMay 8, 2018
Last NPPES UpdateJuly 2, 20213 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
NPI 1952890683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4301114838
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3031 W GRAND BLVD FL 8, Detroit, MI 48202

Secondary Practice Location 1

Location 122201 Moross Rd Ste 50Detroit, MI 48236-2166 · Phone (313) 343-7774

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Khalid Abdullah Alfares 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers69 claims75 services$183.78 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

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

Pharmacy (Community/Retail Pharmacy)
3031 W GRAND BLVD FL 8
DETROIT, MI 48202

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 Khalid Alfares's NPI number?

The NPI number for Khalid Alfares is 1952890683. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Khalid Alfares located?

Khalid Alfares practices at 3031 W Grand Blvd Fl 8, Detroit, MI 48202. The listed phone number is (313) 916-4988.

What is Khalid Alfares's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Khalid Alfares enrolled in Medicare?

Yes. Khalid Alfares is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khalid Alfares was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.