KHALED MAZEN EL KHATIB M.D.
NPI 1831930064
Student in an Organized Health Care Education/Training Program in Portsmouth, VA

Active since June 03, 2024PECOS Enrolled
3640 HIGH ST, PORTSMOUTH, VA 23707(757) 397-6344 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2025, Jul 29, 2024, Jun 3, 2024 (3 updates tracked since 2024).

About Khaled Mazen El Khatib M.d. NPPES

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

KHALED MAZEN EL KHATIB M.D. (NPI 1831930064) is an individual student in an organized health care education/training program in Portsmouth, Virginia, licensed in Virginia (0116042641) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831930064
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKHALED MAZEN EL KHATIBCredential: M.D.
Location Address3640 HIGH STPortsmouth, VA 23707-3213
Mailing Address3640 High StPortsmouth, VA 23707-3213 · (757) 397-6344
Sole ProprietorNo
Enumeration DateJune 3, 2024
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1831930064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
License Licensed in VA · 0116042641
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.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 94-11677 (KS)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License TRN41634 (FL)
3640 HIGH ST, Portsmouth, VA 23707

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Khaled Mazen El Khatib M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3640 HIGH ST, SUITE 2F
PORTSMOUTH, VA 23707
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3640 HIGH ST, SUITE 2D
PORTSMOUTH, VA 23707
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3640 HIGH ST, SUITE 1A
PORTSMOUTH, VA 23707
Surgery (Vascular Surgery)
3640 HIGH ST, SUITE 2F
PORTSMOUTH, VA 23707
Physical Medicine & Rehabilitation
3640 HIGH ST, STE 2A
PORTSMOUTH, VA 23707
Durable Medical Equipment & Medical Supplies
3640 HIGH ST, SUITE 2A
PORTSMOUTH, VA 23707
Psychiatry & Neurology (Neurology)
3640 HIGH ST, STE. 1F
PORTSMOUTH, VA 23707
Podiatrist
3640 HIGH ST, SUITE D1
PORTSMOUTH, VA 23707

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 Khaled El Khatib's NPI number?

The NPI number for Khaled El Khatib is 1831930064. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Khaled El Khatib located?

Khaled El Khatib practices at 3640 High St, Portsmouth, VA 23707. The listed phone number is (757) 397-6344.

What is Khaled El Khatib's specialty?

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

Is Khaled El Khatib enrolled in Medicare?

Yes. Khaled El Khatib is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khaled El Khatib was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.