Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Nagy Khalil, MD

Individual provider Surgery Physician · NPI 1801423991

Dr. Mark Nagy Khalil, MD is a General Surgery in Baton Rouge, Louisiana. Qualified in 2020, 6 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and North Carolina.

Years since qualifying
6
Licensed in
LA, NC
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7777 Hennessy Blvd Ste 612
Baton Rouge, LA 70808-4366
Phone: (225) 769-5656
Fax: (225) 766-6996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 509 Biltmore Ave, Asheville, NC 28801-4601 — (828) 771-4229

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 345336 (LA)
Surgery Physician Taxonomy 208600000X · Licence 2021-03440 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1801423991
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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