DR. SHADI KHALIL MD, PHD
NPI 1366901688
Dermatology in San Diego, CA
About Dr. Shadi Khalil Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHADI KHALIL MD, PHD (NPI 1366901688) is an individual dermatology provider in San Diego, California, licensed in California (A178244) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
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
Dr. Shadi Khalil Md, Phd 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shadi Khalil reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92121
- Reassigned Medicare billing, California and New Mexico enrollments
- 28 clinicians in this Medicare group
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 1,598 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92128
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 Shadi Khalil's NPI number?
The NPI number for Shadi Khalil is 1366901688. It was assigned to this individual provider in the NPPES registry on March 16, 2019.
Where is Shadi Khalil located?
Shadi Khalil practices at 15004 Innovation Dr, San Diego, CA 92128. The listed phone number is (858) 605-7808.
What is Shadi Khalil's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Shadi Khalil enrolled in Medicare?
Yes. Shadi 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 Shadi Khalil's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shadi Khalil reassigns Medicare benefits to 3 organizations: Compass Dermatopathology, Inc. (San Diego, CA), Scripps Health (La Jolla, CA) and Trustees Of Columbia University In The City Of New York (New York, NY). 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 Shadi Khalil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shadi Khalil was last updated on August 14, 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.
# Dr. Shadi Khalil, MD, PHD · NPI 1366901688
Dermatology physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 16, 2019.
## Identity
- **NPI:** 1366901688 (Entity type: Individual)
- **Enumerated:** March 16, 2019
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** A178244 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15004 INNOVATION DR, San Diego, CA 92128-3491
- **Phone:** (858) 605-7808
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Compass Dermatopathology, Inc. (NPI 1922312248, San Diego, CA); Scripps Health (NPI 1841277704, La Jolla, CA); Trustees Of Columbia University In The City Of New York (NPI 1508266347, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366901688) · Data from the CMS NPPES public registry.