Active NPI
Tarek Khalife, M.D.
- Obstetrics & Gynecology Physician
- Mankato, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301094081
- Practice address
- 1025 Marsh St
Mankato, MN 56001-4752 - Phone
- (507) 625-4031
- NPI assigned
- Jul 10, 2009
- Last updated
- Feb 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301094081 | MI | Primary |
Addresses
Primary practice location
1025 Marsh St
Mankato, MN 56001-4752
Mailing address
N10561 Grandview LN
Aspirus Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-6215
Other practice location 1
N10561 Grandview Ln
Aspirus Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-6215
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tkhalife91797@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southwest Minnesota Region
Practice addresses (Care Compare)
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Fairmont | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Past | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431
501 State St N
Waseca, MN 56093
Phone (507) 835-1210
Interoperability endpoints
- tkhalife63892@direct.aspirus.org
- tkhalife91797@ehrdirect.mayoclinicmsg.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Fairmont, MN
- NPI 1366410862
-
dba Mayo Clinic Health System-Albert Lea and Austin
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
dba Mayo Clinic Health System-New Prague
- Critical Access Hospital
- New Prague, MN
- NPI 1124035282
-
dba Mayo Clinic Health System - Mankato
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
dba Mayo Clinic Health System Pharmacy - Cannon Falls
- Clinic Pharmacy
- Cannon Falls, MN
- NPI 1699597468
-
dba Mayo Clinic Health System-Waseca
- Multi-Specialty Clinic/Center
- Waseca, MN
- NPI 1518494251
-
dba Mayo Clinic Health System - Mankato
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System - Mankato
- General Acute Care Hospital
- Mankato, MN
- NPI 1154302487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1437388584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N10561 GRANDVIEW LN",
"address_2": "ASPIRUS GRAND VIEW HOSPITAL",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "499389622",
"telephone_number": "906-932-6215",
"fax_number": "906-932-5091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MARSH ST",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014752",
"telephone_number": "507-625-4031"
}
],
"practiceLocations": [
{
"address_1": "N10561 Grandview Ln",
"address_2": "Aspirus Grand View Hospital",
"address_purpose": "LOCATION",
"city": "Ironwood",
"state": "MI",
"postal_code": "499389622",
"country_code": "US",
"telephone_number": "906-932-6215",
"fax_number": "906-932-5091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALIFE",
"first_name": "TAREK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-10",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301094081",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tkhalife91797@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "301 2nd St NE",
"city": "New Prague",
"state": "MN",
"country_code": "US",
"postal_code": "560711709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.