Organization Active NPI

Zaid Khalil, MD

  • Family Medicine Physician
  • Vienna, VA
National Provider Identifier
1619271848
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101058347 Issued in VA
Legal business name
ZAID KHALIL, MD
Practice address
301 Maple Ave W Ste 130
Vienna, VA 22180-4301
Phone
(703) 255-9850
Fax
(703) 255-9856
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Dr. Zaid Khalil, MDNPI 1629001797
Title
President
Phone
(703) 255-9850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101058347 VA Primary

Addresses

Primary practice location

301 Maple Ave W Ste 130
Vienna, VA 22180-4301

Mailing address

301 Maple Ave W Ste 130
Vienna, VA 22180-4301
Phone (703) 255-9850

Other identifiers 11

IdentifierTypeStateIssuer
256827OtherANTHEM
10385320OtherCAQH
3110222OtherCIGNA
0101876OtherUNITED HEALTHCARE
2191847OtherAETNA
5602688MedicaidVA
70460001OtherBLUE CROSS BLUE SHIELDS
7483004OtherAETNA
885562OtherALLIANCE/MAMSI
10231548OtherVAAMERIGROUP
285568OtherOPTIMUM CHOICE/MDIPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110121000426 DC Part B Supplier - Clinic/Group Practice 5597944629 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0983023Zaid Khalil MD PC301 Maple Avenue W, Suite 130, Vienna, VA 22180Certificate of waiverFeb 11, 2027

National Provider Directory

National Provider Directory

Locations

301 Maple Ave W
Ste 130
Vienna, VA 22180
Phone (703) 255-9850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1619271848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE W STE 130",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804301",
            "telephone_number": "703-255-9850",
            "fax_number": "703-255-9856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE W STE 130",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804301",
            "telephone_number": "703-255-9850",
            "fax_number": "703-255-9856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAID KHALIL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "ZAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-255-9850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101058347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "256827",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10385320",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3110222",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0101876",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2191847",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5602688",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "70460001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7483004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/MAMSI",
            "identifier": "885562",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10231548",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE/MDIPA",
            "identifier": "285568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.