Khaled Eldawy

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DL14009 Issued in MA

Practice address

735 Attucks LN
Hyannis, MA 02601-1867

Phone

(508) 778-5420

NPI assigned

Jun 27, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keldawy322361@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harbor Health Services, Inc.

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1881692366
  Medicare reassignment NPD
• Harbor Health Services, Inc.

  • Community Health Clinic/Center
  • Plymouth, MA
  • NPI 1568892859
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1043871262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 ATTUCKS LN",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011867",
            "telephone_number": "508-778-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 ATTUCKS LN",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011867",
            "telephone_number": "508-778-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDAWY",
        "first_name": "KHALED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DL14009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwards Optical Lab Inc.
• Sarah Edwards, MSN, APRN, FNP-BC
• Edward E Egan, DMD
• Meghann Amelia Eident, LICSW
• Salah E El-Deriny, M.D.
• Eugene E Elderkin, CRNA
• Michele A Eldredge, NP
• Meghan R Elia
• Sanchia Shanica Ellis-Bowen, MD, BSC
• Stephanie Ellis

• General Practice Dentistry in Hyannis, MA
• Providers in Hyannis, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.