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WAGDY A KHALIL
NPI 1043507031
Psychiatry & Neurology - Psychiatry in Madison, WI

Active since June 29, 2011PECOS EnrolledAccepts Medicare Assignment
5401 QUARRY PARK RD, MADISON, WI 53718(844) 767-3769 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2022, Sep 23, 2019, Apr 22, 2019 and 2 more (5 updates tracked since 2018).

About Wagdy A Khalil NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAGDY A KHALIL (NPI 1043507031) is an individual psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (60427-20) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043507031
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameWAGDY A KHALIL
Location Address5401 QUARRY PARK RDMadison, WI 53718-7901
Mailing Address817 Whiting AveStevens Point, WI 54481-5246 · (715) 345-5350 · Fax (715) 345-5966
Phone(844) 767-3769
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 29, 2011
Last NPPES UpdateAugust 26, 20255 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1043507031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WI · 60427-20
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5401 QUARRY PARK RD, Madison, WI 53718
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11825 Logan AveWaterloo, IA 50703-1916 · Phone (319) 235-3941
Location 21351 Ontario RdGreen Bay, WI 54311 · Phone (319) 235-3941
Location 3817 Whiting AveStevens Point, WI 54481 · Phone (715) 345-5350 · Fax (715) 345-5966

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wagdy A Khalil is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274750864
PECOS Enrollment IDI20190406000051
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Wagdy Khalil reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Madison Bh, LLC
Same address
Psychiatric Hospital
5401 QUARRY PARK ROAD
Madison, WI 53718
  • Reassigned Medicare billing, Wisconsin enrollment
  • 12 clinicians in this Medicare group
NPI 1386498012 (608) 690-7111
Milwaukee Behavioral Health LLC
66 mi
Psychiatric Hospital
1706 S 68TH ST
Milwaukee, WI 53214
  • Reassigned Medicare billing, Wisconsin enrollment
  • 41 clinicians in this Medicare group
NPI 1497324115 (414) 667-4800
County Of Portage
96 mi
Mental Health (Including Community Mental Health Center)
817 WHITING AVE
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3 clinicians in this Medicare group
NPI 1386720043 (715) 345-5350
Sbh-Green Bay LLC
115 mi
Psychiatric Hospital
1351 ONTARIO RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 18 clinicians in this Medicare group
NPI 1922556778 (901) 969-3100
Allen Memorial Hospital Corporation
161 mi
Emergency Medicine
1825 LOGAN AVE
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
  • 273 clinicians in this Medicare group
NPI 1346292521 (319) 235-3941

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
161 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520002
Location900 Illinois AveStevens Point, WI 54481 · Portage County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS FRALEY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
SYLVESTER NDIFOR APNP
Nurse Practitioner (Psychiatric/Mental Health)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
DR. STEPHANIE RENE GRAHAM PHD
Psychologist (Counseling)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
DOUGLAS S BELL MD
Psychiatry & Neurology (Psychiatry)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
CHADD FRANCIS DEGRUSH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
HALEY DECERO NP
Nurse Practitioner (Family)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (844) 767-3769
ELFRIDA NWACHUKWU DNP PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
5401 QUARRY PARK RD
MADISON, WI 53718
Dane County (608) 690-7111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wagdy Khalil's NPI number?

The NPI number for Wagdy Khalil is 1043507031. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Wagdy Khalil located?

Wagdy Khalil practices at 5401 Quarry Park Rd, Madison, WI 53718. The listed phone number is (844) 767-3769.

What is Wagdy Khalil's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Wagdy Khalil enrolled in Medicare?

Yes. Wagdy Khalil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Wagdy Khalil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wagdy Khalil reassigns Medicare benefits to 5 organizations: Madison Bh, LLC (Madison, WI), Milwaukee Behavioral Health LLC (Milwaukee, WI), County Of Portage (Stevens Point, WI), Sbh-Green Bay LLC (Green Bay, WI) and Allen Memorial Hospital Corporation (Waterloo, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wagdy Khalil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wagdy Khalil accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, Network Health and Quartz and 1 other insurer list Wagdy Khalil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Wagdy Khalil affiliated with any hospitals?

According to CMS data, Wagdy Khalil is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc..

When was this NPI record last updated?

The NPPES record for Wagdy Khalil was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.