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Ryan Khalifa , PA

Physician Assistant β€’ Boston, MA

Active NPI 1407696917 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

80 Summer St
Boston, MA 021101218

Call 8573536397 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

80 Summer St

Boston, MA 021101218

Telephone 8573536397
Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Carbon Health Medical Group Of Massachusetts Pc; Foundation Medical Partners Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ryan Khalifa has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ryan Khalifa as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Boston and Massachusetts

1,660 active clinicians are listed under Physician Assistant with a practice address in Boston, MA (4,715 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Boston

15.4% of these 1,660 clinicians have the CMS telehealth indicator.

57.1% of these 1,660 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MA PA101399

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NH 3644

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260413000193

Enrollment State Jurisdiction

NH

PECOS Control ID

1254830953

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Foundation Medical Partners Inc

112 Spit Brook Rd, Nashua, NH 030622869

Phone: 6035772273

Carbon Health Medical Group Of Massachusetts Pc

80 Summer St, Boston, MA 021101218

Phone: 6178652749

Carbon Health Medical Group Of Massachusetts Pc

75 Spring St, West Roxbury, MA 021324335

Phone: 8573757739

Carbon Health Medical Group Of Massachusetts Pc

399 Boylston St, Boston, MA 021163305

Phone: 8573846986

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 29, 2026

Registered at 80 SUMMER ST, BOSTON, MA 021101218 (Tel: 8573536397)

πŸ“
Updated Business Mailing Address March 29, 2026

Registered at 80 SUMMER ST, BOSTON, MA 021101218 (Tel: 8573536397)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2026

Physician Assistant (license number reported to NPPES: MA PA101399)

βœ…
NPI Profile Active May 31, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 31, 2024

Registered at 1260 ELM ST, MANCHESTER, NH 031011305 (Tel: 6033141701)

πŸ“
Business Mailing Address (Initial Record) May 31, 2024

Registered at 1260 ELM ST, MANCHESTER, NH 031011305 (Tel: 6033141701)

πŸ‘€
Provider Name / Credentials (Initial Record) May 31, 2024

Recorded as RYAN KHALIFA, PA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 31, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407696917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2024
Last Update: March 29, 2026
Sole Proprietor: No

Other Physician Assistants in Boston

All Physician Assistants in Boston

Mailing Address

80 Summer St

Boston, MA 021101218

Phone: 8573536397

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.