Individual provider Active NPI

Zena Ma Khalil, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Saint Paul, MN
National Provider Identifier
1568435410
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
39356 Issued in MN
Practice address
640 Jackson Street
MC 11103E
St Paul, MN 55101-2502
Phone
(651) 254-4786
Fax
(651) 254-2741
NPI assigned
Feb 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 39356 MN Primary

Addresses

Primary practice location

640 Jackson Street
MC 11103E
St Paul, MN 55101-2502

Mailing address

8100 34TH Ave S
Mail Stop 21110Q
Bloomington, MN 55425-1672
Phone (952) 883-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040513000114 MN Practitioner - Pathology 1557351566 Reassigns benefits to 1 organization
I20251114000034 DC Practitioner - Pathology 1557351566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

820 W Diamond Ave
Gaithersburg, MD 20878-1419

820 W Diamond Ave
Suite 500
Gaithersburg, MD 20878-1469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Oct 3, 2025 Accepting new patients
Group Health, Inc. CurrentSince Jul 1, 2004 Accepting new patients
Group Health, Inc. CurrentSince Jul 1, 2004 Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

640 Jackson St
#11103E
Saint Paul, MN 55101
Phone (651) 254-4796

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1568435410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 34TH AVE S",
            "address_2": "MAIL STOP 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251672",
            "telephone_number": "952-883-5463",
            "fax_number": "952-883-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON STREET",
            "address_2": "MC 11103E",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-4786",
            "fax_number": "651-254-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALIL",
        "first_name": "ZENA",
        "middle_name": "MA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MN",
            "license": "39356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.