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

Khalid Azzam, MD

Individual provider Orthopaedic Surgery Physician · NPI 1811128416

Khalid Azzam, MD is an Orthopedic Surgery in Saint Paul, Minnesota. Qualified in 2001, 25 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Minnesota and Nebraska.

Years since qualifying
25
Licensed in
IN, MN, NE
In the registry since
2009
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

435 Phalen Blvd
Saint Paul, MN 55130
Phone: (651) 254-8379
Fax: (651) 254-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13100 E 136th St, Fishers, IN 46037-9440 — (317) 688-5980

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 65384 (MN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 01075391A (IN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 6172 (NE)

Record details

NPI number1811128416
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2009
Last updated in NPPESOctober 21, 2019
Mailing address8170 33rd Ave, Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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