Wissam E Khoury, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36003289 Issued in OH

Practice address

2351 E 22ND St
Cleveland, OH 44115

Phone

(216) 367-9444

Fax

(216) 453-0331

NPI assigned

Mar 24, 2006

Last updated

Mar 22, 2016By the provider in NPPES

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 OH

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wissam Khoury DPM LLCGroup PAC ID 2668517061, 13 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wkhoury38089@ehrdirect.uhhospitals.org

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

• Wissam Khoury DPM LLC

  • Podiatrist
  • Cleveland, OH
  • NPI 1295064343
  Medicare reassignment Care Compare group Authorized official
• St. Vincent Charity Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1831571272
  Authorized official Same address or phone
• Lake County Foot & Ankle Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Wadsworth, OH
  • NPI 1154128064
  NPD (past)
• Lake County Foot & Ankle Associates, LLC

  dba Foot & Ankle Specialists of Ohio, LLC

  • Foot & Ankle Surgery Podiatrist
  • Mentor, OH
  • NPI 1770605347
  NPD (past)
• Richard a Zinni DO Inc

  • Internal Medicine Physician
  • Kirtland, OH
  • NPI 1184784225
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1104886910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 FRONT ST",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171716",
            "telephone_number": "216-367-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44115",
            "telephone_number": "216-367-9444",
            "fax_number": "216-453-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "WISSAM",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Khoury, M.D.
• Lea Georgantas Khoury, AU.D.
• Mouna Khoury, RPH
• Shireen Khoury, M.D.
• Wisam Khoury, MD
• Tabassum Khowaja, M.D.
• Shameer Khubber
• Akash Tarik Khurana
• Ravkiran Khurana
• Rishabh Khurana

• Podiatrist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.