MARIO KHALIL
NPI 1609403682
Student in an Organized Health Care Education/Training Program in Stanford, CA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR, LANE 154, STANFORD, CA 94305(650) 723-6661(650) 498-6205 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Mar 26, 2020 (2 updates tracked since 2020).

About Mario Khalil NPPES

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

MARIO KHALIL (NPI 1609403682) is an individual student in an organized health care education/training program in Stanford, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2020).

NPPES Registry Identity

NPI1609403682
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARIO KHALIL
Location Address300 PASTEUR DR, LANE 154Stanford, CA 94305-2200
Mailing Address300 Pasteur Dr, Lane 154Stanford, CA 94305-2200
Fax(650) 498-6205
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
NPI 1609403682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
300 PASTEUR DR, Stanford, CA 94305

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mario 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 ID6800323320
PECOS Enrollment IDI20241223002056
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.

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.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

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 Mario Khalil's NPI number?

The NPI number for Mario Khalil is 1609403682. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Mario Khalil located?

Mario Khalil practices at 300 Pasteur Dr Lane 154, Stanford, CA 94305. The listed phone number is (650) 723-6661.

What is Mario Khalil's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mario Khalil enrolled in Medicare?

Yes. Mario 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.

When was this NPI record last updated?

The NPPES record for Mario Khalil was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.