Dr Shadi Khalil, MD, PHD in San Diego, CA

Dr Shadi Khalil, MD, PHD is a medicare enrolled "Dermatology" physician in San Diego, California. He went to University Of Virginia School Of Medicine and graduated in 2019 and has 6 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Trustees Of Columbia University In The City Of New York and his current practice location is 15004 Innovation Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 605-7808.

Dr Shadi Khalil is licensed to practice in California (license number A178244) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366901688.

Contact Information

	Dr Shadi Khalil, MD, PHD
	15004 Innovation Dr, San Diego, CA 92128-3491
	(858) 605-7808
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shadi Khalil
Gender	Male
Speciality	Pathology
Experience	6 Years
Location	15004 Innovation Dr, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shadi Khalil attended and graduated from University Of Virginia School Of Medicine in 2019

NPI Data:

NPI Number: 1366901688
Provider Enumeration Date: 03/16/2019
Last Update Date: 08/14/2025

Medicare PECOS Information:

PECOS PAC ID: 0446799902
Enrollment ID: I20240828001623

Medical Identifiers

Medical identifiers for Dr Shadi Khalil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366901688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	330949 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207N00000X	Dermatology	A178244 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New York-presbyterian Hospital	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trustees Of Columbia University In The City Of New York	8527972546	2014

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shadi Khalil allows following entities to bill medicare on his behalf.

Entity Name	Trustees Of Columbia University In The City Of New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shadi Khalil is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shadi Khalil, MD, PHD 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (858) 605-7808	Dr Shadi Khalil, MD, PHD 15004 Innovation Dr, San Diego, CA 92128-3491 Ph: (858) 605-7808

Reviews and Comments

Dermatology Doctors in San Diego, CA

Dr. Stephen Erik Hemperly, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4060 Fourth Ave Ste 415, San Diego, CA 92103 Phone: 619-298-9809 Fax: 619-298-9823
Dr. Ghada K Kassab, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4606 Mission Bay Dr, San Diego, CA 92109 Phone: 858-273-2726 Fax: 858-273-2725
Dr. Vikas Shrivastava, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-251-7471
Dr. Michelle Terez Pelle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3965 5th Ave Ste 200, San Diego, CA 92103 Phone: 619-542-0013 Fax: 619-542-0559
Dr. Jamison Derek Feramisco, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8898 Navajo Rd # C-349, San Diego, CA 92119 Phone: 619-650-5476
Sharon Jacob-soo, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3860 Calle Fortunada, Ste #210, San Diego, CA 92123 Phone: 858-309-6303 Fax: 858-309-6301
Dr. Susan Boiko, MD Dermatology Medicare: Medicare Enrolled Practice Location: 8010 Frost St, Ste 602, San Diego, CA 92123 Phone: 858-966-6795

Dr Shadi Khalil, MD, PHD - Medicare Pathology in San Diego, CA