Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730133232 Deactivated / Inactive NPI Male Practitioner

Dr. Abdul Hami Khaliq , MD

Specialist • Enfield, CT

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Abdul Khaliq has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 19, 2006
NPI Deactivation Date December 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Abdul Khaliq, MD was a registered Specialist practicing in Enfield, CT. Throughout an active medical career spanning 13 years, Dr. Khaliq provided care at the practice location at 146 HAZARD AVE until profile deactivation on 2019-12-09.

Historical Medicare Part B clinical services included established patient problem focused exam of visual system, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

146 Hazard Ave

Enfield, CT 060824571

Telephone 8607634046
Fax 8607633856
Associated Practice Facility / Clinic
🏢 Enfield Dermatology Llc Facility NPI 1073705232

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Enfield, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Enfield, CT (452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
24 14 $186.00 $92.37
92014 Established patient complete exam of visual system
17 16 $269.00 $133.89

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CT 019793

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Mujeeb Khalique , MD

Psychologist - Clinical Child & Adolescent

NPI 1104870252

Doctor of Medicine (M.D.)

NPI 1518133511

Doctor of Optometry

Jennifer Lyman , LDO

Technician/Technologist - Optician

NPI 1740916956
NPI 1801877584

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 146 HAZARD AVE, ENFIELD, CT 060824571 (Tel: 8607634046)

📍
Updated Business Mailing Address July 08, 2007

Registered at 146 HAZARD AVE, ENFIELD, CT 060824566 (Tel: 8607634046)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ABDUL KHALIQ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #019793 in CT)

🟢
Initial NPI Registration & Enumeration May 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Abdul Khaliq. Be the first to share your experience!

Sign in to leave a review for Dr. Abdul Khaliq

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1730133232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: July 08, 2007
Deactivation Date: December 09, 2019

Mailing Address

146 Hazard Ave

Enfield, CT 060824566

Phone: 8607634046

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.