Khidir Abdelmoneim Khidir Dalouk, MD in Portland, OR - Medicare Cardiac Electrophysiology

Khidir Abdelmoneim Khidir Dalouk, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Portland, Oregon. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Cardiac Electrophysiology. He is a member of the group practice Legacy Clinics Llc, Oregon Health And Sciences University/university Medical Group, Columbia Lutheran Charities and his current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 494-1775.

Khidir Abdelmoneim Khidir Dalouk is licensed to practice in Oregon (license number MD151768) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386823987.

Contact Information

	Khidir Abdelmoneim Khidir Dalouk, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-1775
	(503) 494-4749

Map and Direction

Physician's Profile

Full Name	Khidir Abdelmoneim Khidir Dalouk
Gender	Male
Speciality	Cardiac Electrophysiology
Experience	25 Years
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Khidir Abdelmoneim Khidir Dalouk graduated from medical school in 1999

NPI Data:

NPI Number: 1386823987
Provider Enumeration Date: 10/31/2007
Last Update Date: 12/16/2022

Medicare PECOS Information:

PECOS PAC ID: 3577690056
Enrollment ID: I20120111000291

Medical Identifiers

Medical identifiers for Khidir Abdelmoneim Khidir Dalouk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386823987	NPI	-	NPPES
500640706	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	57013968 (Ohio)	Secondary
207R00000X	Internal Medicine	MD151768 (Oregon)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	MD151768 (Oregon)	Secondary
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	MD151768 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ohsu Hospital And Clinics	Portland, OR	Hospital
Columbia Memorial Hospital	Astoria, OR	Hospital
Legacy Emanuel Medical Center	Portland, OR	Hospital
Legacy Good Samaritan Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Clinics Llc	0244144004	633
Oregon Health And Sciences University/university Medical Group	4880760107	1479
Columbia Lutheran Charities	5294643359	85

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Khidir Abdelmoneim Khidir Dalouk allows following entities to bill medicare on his behalf.

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Columbia Lutheran Charities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20040202000073

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khidir Abdelmoneim Khidir Dalouk is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Khidir Abdelmoneim Khidir Dalouk, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-1775	Khidir Abdelmoneim Khidir Dalouk, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-1775

Reviews and Comments

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Khidir Abdelmoneim Khidir Dalouk, MD - Medicare Cardiac Electrophysiology in Portland, OR