MICHAEL KHAIRALLAH DDS
NPI 1962054866
Dentist in Portland, OR

Q: What is Michael Khairallah's NPI number?

The NPI number for Michael Khairallah is 1962054866. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Michael Khairallah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since July 10, 2019PECOS Enrolled

3280 NE BROADWAY ST, PORTLAND, OR 97232(503) 282-0521 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Khairallah Dds NPPES

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

MICHAEL KHAIRALLAH DDS (NPI 1962054866) is an individual dentist in Portland, Oregon, licensed in Oregon (D11088) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962054866

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMICHAEL KHAIRALLAHCredential: DDS

Location Address3280 NE BROADWAY STPortland, OR 97232-1815

Mailing Address3280 Ne Broadway StPortland, OR 97232-1815

Phone(503) 282-0521

Sole ProprietorNo

Enumeration DateJuly 10, 2019

✔ NPI 1962054866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D11088

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3280 NE BROADWAY ST, Portland, OR 97232

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Khairallah Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

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 3

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

JOHN MICHAEL DURO D.M.D

Dentist

3280 NE BROADWAY ST
PORTLAND, OR 97232

Multnomah County (503) 282-0521

ROGER KRUPETSKY

Dentist

3280 NE BROADWAY ST
PORTLAND, OR 97232

Multnomah County (503) 282-0521

GIANG QUYNH THI NGO RDH

Dental Hygienist

3280 NE BROADWAY ST
PORTLAND, OR 97232

Multnomah County (503) 282-0521

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 Michael Khairallah's NPI number?

The NPI number for Michael Khairallah is 1962054866. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Michael Khairallah located?

Michael Khairallah practices at 3280 NE Broadway St, Portland, OR 97232. The listed phone number is (503) 282-0521.

What is Michael Khairallah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Michael Khairallah enrolled in Medicare?

Yes. Michael Khairallah is registered in the Medicare PECOS enrollment system.

What insurance does Michael Khairallah accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Michael Khairallah 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.

When was this NPI record last updated?

The NPPES record for Michael Khairallah was last updated on July 10, 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.