ABDEL KHALEK MD LTD SOS Flagged
9410 DEL WEBB BLVD, LAS VEGAS, NV 89134
NPI Number
1952644213
Practice location · View on Google Maps
SOS Verification: Questionable
Entity Name: ABDEL M. KHALEK, M.D., LTD.
Entity Number: C11860-1993
Entity Type: Domestic Professional Corporation
Entity Status: Permanently Revoked
Formation Date: 1993-09-28
Status Changed: 2025-10-01
Name Match: 80%
SOS Status: Revoked
Registered Agent
Name: ABDEL M. KHALEK, M.D., LTD.
Type: Non-Commercial Registered Agent
Address: 38 CONGRESSIONAL COURT, LAS VEGAS, NV, 89113
Research Report
Old entity permanently revoked. Dr. Abdel M. Khalek active under different NPI (1164488938) at 3430 E Flamingo Rd Ste 104, Las Vegas. Affiliated with Summerlin, MountainView, Spring Valley hospitals. 40 years exp. $0 on this NPI because entity defunct.
Needs Manual Review
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | ABDEL KHALEK | 3001 LAKE EAST DR, APT 1216, LAS VEGAS, NV, 89117 | Active |
| Secretary | ABDEL KHALEK | 3001 LAKE EAST DR, APT 1216, LAS VEGAS, NV, 89117 | Active |
| Treasurer | ABDEL KHALEK | 3001 LAKE EAST DR, APT 1216, LAS VEGAS, NV, 89117 | Active |
| Director | ABDEL KHALEK | 3001 LAKE EAST DR, APT 1216, LAS VEGAS, NV, 89117 | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 29 | $0 | 0.0% | $0 |