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

Ryan Khalifa, PA

Individual provider Physician Assistant · NPI 1407696917

Ryan Khalifa, PA is a Physician Assistant in Boston, Massachusetts. Qualified in 2024, 2 years ago. Practices with Foundation Medical Partners Inc, a 311-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New Hampshire.

Years since qualifying
2
Licensed in
MA, NH
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

80 Summer St
Boston, MA 02110-1218
Phone: (857) 353-6397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101399 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 3644 (NH)

Record details

NPI number1407696917
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2024
Last updated in NPPESMarch 29, 2026
Certification dateMarch 29, 2026
Mailing address80 Summer St, Boston, MA 02110-1218

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Foundation Medical Partners Inc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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