Maryam Khalili, DDS-PROSTHODONTIST
NPI 1578101630ActiveIndividual· Dentist, Prosthodontics· Philadelphia, PA
Dentist, Prosthodontics (DDS-PROSTHODONTIST) in Philadelphia, Pennsylvania, licensed in PA, TX and VA, with an NPI issued in December 2019. Enrolled in Medicare as practitioner - dentist. Keystone Dental Inc. reported $433.74 in payments in 2024, mostly entertainment.
Overview
| NPI | 1578101630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS-PROSTHODONTIST |
| Sole proprietor | No |
| NPI issued | Dec 19, 2019 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | DS045634 | PA |
| Dentist | 122300000X | 34590 | TX |
| Dentist | 122300000X | 0401416303 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Dentist (PA) |
|---|
Industry payments (Open Payments)
- 2024$433.74 · 3 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Keystone Dental Inc. | $433.74 | 3 |
What the 2024 payments were for
- Entertainment$433.74 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 31 Dentist, Prosthodontics providers in Philadelphia · All Dentist, Prosthodontics providers in Pennsylvania