DINA KHALED
NPI 1912360223
Nurse Practitioner - Adult Health in Plymouth, MN

Q: What is Dina Khaled's NPI number?

The NPI number for Dina Khaled is 1912360223. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Q: What is Dina Khaled's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Dina Khaled was last updated on May 9, 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.

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment

15700 37TH AVE N STE 300, PLYMOUTH, MN 55446(612) 871-1145(612) 870-5491 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dina Khaled NPPES

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

DINA KHALED (NPI 1912360223) is an individual adult health provider in Plymouth, Minnesota, licensed in Minnesota (1978474) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912360223

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDINA KHALED

Location Address15700 37TH AVE N STE 300Plymouth, MN 55446-3661

Mailing AddressPo Box 14909Minneapolis, MN 55414-0909 · (612) 871-1145 · Fax (612) 870-5491

Phone(612) 871-1145

Fax(612) 870-5491

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 4, 2016

Last NPPES UpdateMay 9, 2019

✔ NPI 1912360223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MN · 1978474

15700 37TH AVE N STE 300, Plymouth, MN 55446

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Dina Khaled 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 ID7012200785

PECOS Enrollment IDI20160719001475

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55446 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

DR. THOMAS JOHN KAMINSKY M.D.

Internal Medicine (Gastroenterology)