Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Khaled R Girgis, MDPHD

Individual provider Allergy & Immunology Physician · NPI 1104813419

Dr. Khaled R Girgis, MDPHD is an Allergy/Immunology in Overland Park, Kansas. Qualified in 1980, 46 years ago. Practices with Overland Park Surgical Specialties LLC, a 88-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
46
Licensed in
KS
In the registry since
2005

Practice location Address checks out

11725 W 112th St
Overland Park, KS 66210-2761
Phone: (913) 469-5579
Fax: (913) 338-1311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12208 W 87th Street Pkwy Ste 180, Overland Park, KS 66215-2896 — (913) 428-2581

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 0429718 (KS)

Record details

NPI number1104813419
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESJanuary 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Overland Park Surgical Specialties Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Overland Park