Muad Khallad, MD
NPI 1093453730 · Student in an Organized Health Care Education/Training Program · Idaho Falls, ID
Enrolled with Medicare as Order and Referring Only - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Muad Khallad, MD is a Student in an Organized Health Care Education/Training Program provider in Idaho Falls, ID (NPI 1093453730).
Provider details
- NPI number
- 1093453730
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MRM-2190 (ID)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2001 S Woodruff Ave Ste 9Idaho Falls, ID 83404-6371Phone: (208) 419-3002
Registry dates
- Enumerated
- 2022-05-23
- Last updated
- 2024-07-03
- Certified
- 2024-07-03
Frequently asked questions
- What is Muad Khallad's NPI number?
- Muad Khallad's National Provider Identifier (NPI) is 1093453730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Muad Khallad's specialty?
- Muad Khallad is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Muad Khallad located?
- Muad Khallad's practice location on file with NPPES is 3100 Channing Way, Idaho Falls, ID 83404-7533.
- What is Muad Khallad's phone number?
- The practice phone number listed in the NPPES registry for Muad Khallad is (208) 970-4091.
- Does Muad Khallad accept Medicare?
- Muad Khallad is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Muad Khallad's NPI active?
- Yes — Muad Khallad's NPI (1093453730) is active in the NPPES registry as of the last update on 2024-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.