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

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: October 18, 2026.

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
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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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dina Khaled reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Memorial Health Care
6.0 mi
Primary Care
15450 HIGHWAY 7
Minnetonka, MN 55345
  • Reassigned Medicare billing, Minnesota enrollment
  • 540 clinicians in this Medicare group
NPI 1952732729 (763) 581-8900
Mngi Digestive Health, P.A.
13 mi
Gastroenterology
3001 BROADWAY ST NE STE 500
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Mngi Digestive Health PA
  • 322 clinicians in this Medicare group
NPI 1609804541 (612) 871-1145

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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)
15700 37TH AVE N STE 300
PLYMOUTH, MN 55446
Hennepin County (612) 871-1145
DR. DANIEL MARK VAN HANDEL M.D.
Internal Medicine (Gastroenterology)
15700 37TH AVE N STE 300
PLYMOUTH, MN 55446
Hennepin County (612) 871-1145
POLLY A NESSET NP
Nurse Practitioner (Adult Health)
15700 37TH AVE N STE 300
PLYMOUTH, MN 55446
Hennepin County (612) 871-1145
DR. BIRTUKAN BELEW CINNOR M.D., M.P.H.
Internal Medicine (Gastroenterology)
15700 37TH AVE N STE 300
PLYMOUTH, MN 55446
Hennepin County (612) 871-1145
KAVITHA MALANGO NP
Nurse Practitioner
15700 37TH AVE N STE 300
PLYMOUTH, MN 55446
Hennepin County (612) 871-1145
SARA LOUISE HOLSATHER PA-C
Physician Assistant (Medical)
15700 37TH AVE N STE 300
PLYMOUTH, MN 55446
Hennepin County (612) 871-1145
KATHLEEN POWERS GRAHAM NP-C
Nurse Practitioner (Adult Health)
15700 37TH AVE N STE 300
PLYMOUTH, MN 55446
Hennepin County (612) 871-1145
JOSE ANTONIO VEGA PERALTA M.D.
Internal Medicine (Gastroenterology)
15700 37TH AVE N STE 300
PLYMOUTH, MN 55446
Hennepin County (612) 624-5915

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 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.

Where is Dina Khaled located?

Dina Khaled practices at 15700 37th Ave N Ste 300, Plymouth, MN 55446. The listed phone number is (612) 871-1145.

What is Dina Khaled's specialty?

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

Is Dina Khaled enrolled in Medicare?

Yes. Dina Khaled 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 Dina Khaled's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dina Khaled reassigns Medicare benefits to 2 organizations: North Memorial Health Care (Minnetonka, MN) and Mngi Digestive Health, P.A. (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 Dina Khaled'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 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.