KHALID AZZAM M.D.
NPI 1811128416
Orthopaedic Surgery in Saint Paul, MN

Active since July 30, 2009PECOS EnrolledAccepts Medicare Assignment
435 PHALEN BLVD, SAINT PAUL, MN 55130(651) 254-8379(651) 254-8300 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 21, 2019, Jul 15, 2019, Sep 30, 2015 (3 updates tracked since 2015).

About Khalid Azzam M.d. NPPES

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

KHALID AZZAM M.D. (NPI 1811128416) is an individual orthopaedic surgery provider in Saint Paul, Minnesota, licensed in Minnesota (65384) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Fishers.

NPPES Registry Identity

NPI1811128416
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKHALID AZZAMCredential: M.D.
Location Address435 PHALEN BLVDSaint Paul, MN 55130
Mailing Address8170 33rd Ave, Ms 21110qBloomington, MN 55425-4516 · (651) 254-8739 · Fax (651) 254-8300
Fax(651) 254-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 30, 2009
Last NPPES UpdateOctober 21, 20193 updates tracked since enumeration
✔ NPI 1811128416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in MN · 65384✔ Licensed in IN · 01075391A✔ Licensed in NE · 6172
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
435 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Location 1

Location 113100 E 136th St, Ste 2000Fishers, IN 46037-9440 · Phone (317) 688-5980 · Fax (317) 678-3222

Other Identifiers 1

Medicaid201319820IN

Accepted 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

Khalid Azzam M.d. 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 ID42436917
PECOS Enrollment IDI20190717002624
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

4

Medicare enrollment records show Khalid Azzam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
980 RICE ST
Saint Paul, MN 55117
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Clinic/Center
45 10TH ST W STE 3000
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
Ambulatory Surgical
8100 NORTHLAND DR
Minneapolis, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1346624384 (Minnesota)
  • 8 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 15

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.

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.
65 services53 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
56 services31 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
49 services36 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
34 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services21 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55130 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

Podiatrist (Foot & Ankle Surgery)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Anesthetist, Certified Registered
435 PHALEN BLVD
SAINT PAUL, MN 55130
Speech-Language Pathologist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Anesthetist, Certified Registered
435 PHALEN BLVD
SAINT PAUL, MN 55130
Orthopaedic Surgery
435 PHALEN BLVD
SAINT PAUL, MN 55130
Psychologist
435 PHALEN BLVD
SAINT PAUL, MN 55130
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
435 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner
435 PHALEN BLVD
SAINT PAUL, MN 55130

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 Khalid Azzam's NPI number?

The NPI number for Khalid Azzam is 1811128416. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Where is Khalid Azzam located?

Khalid Azzam practices at 435 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 254-8379.

What is Khalid Azzam's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Khalid Azzam enrolled in Medicare?

Yes. Khalid Azzam 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 Khalid Azzam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khalid Azzam reassigns Medicare benefits to 4 organizations: Healtheast Medical Research Institute (Saint Paul, MN), Fairview Express Care (Saint Paul, MN), Group Health, Inc. (Saint Paul, MN) and Tria Orthopaedic Center LLC (Minneapolis, MN). 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 Khalid Azzam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khalid Azzam accept?

Health plans from HealthPartners and Sanford Health Plan list Khalid Azzam 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 Khalid Azzam affiliated with any hospitals?

According to CMS data, Khalid Azzam is affiliated with Abbott Northwestern Hospital and Regions Hospital.

When was this NPI record last updated?

The NPPES record for Khalid Azzam was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.