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

Paryssa Khadem

Individual provider Diagnostic Radiology Physician · NPI 1578772364

Paryssa Khadem is a Diagnostic Radiology in Edina, Minnesota. Qualified in 1998, 28 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group and accepts Medicare assignment. Licensed in Massachusetts, New Hampshire and Pennsylvania.

Years since qualifying
28
Licensed in
MA, NH, PA
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1301
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 20724 (NH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 242502 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD456420 (PA)

Record details

NPI number1578772364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Edina