Individual provider Active NPI

Wahab Kahloan, MD

  • Family Medicine Physician
  • N Tonawanda, NY
National Provider Identifier
1174256424
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338478 Issued in NY
Practice address
415 Tremont St
N Tonawanda, NY 14120-6135
Phone
(716) 220-8002
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 338478 NY Primary

Addresses

Primary practice location

415 Tremont St
N Tonawanda, NY 14120-6135

Mailing address

6739 Tattinger Avenue
Mississauga (Meadowvale Village / West G, ON L5W1P1
CA

Other practice location 1

1650 N Mills Ave Apt 375
Orlando, FL 32803-1899
Phone (347) 574-8241

Other practice location 2

133 Benmore Dr Ste 200
Winter Park, FL 32792-4111
Phone (407) 646-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725000595 NY Practitioner - Family Practice 2264816339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toronto, Faculty of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

415 Tremont St
North Tonawanda, NY 14120-6135
Phone (716) 710-8266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
338478NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

726 Exchange St
Ste 516
Buffalo, NY 14210

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

415 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2691

Interoperability endpoints

  • Direct secure messaging: wkahloan@gppc.medentdirect.com
  • Direct secure messaging: wkahloan667162@adventhealth.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1174256424",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "6739 TATTINGER AVENUE",
            "city": "MISSISSAUGA (MEADOWVALE VILLAGE / WEST G",
            "state": "ON",
            "postal_code": "L5W1P1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 TREMONT ST",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141206135",
            "telephone_number": "716-220-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 N Mills Ave Apt 375",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031899",
            "country_code": "US",
            "telephone_number": "347-574-8241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Benmore Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327924111",
            "country_code": "US",
            "telephone_number": "407-646-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHLOAN",
        "first_name": "WAHAB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "338478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.