Essam Mohamed Khedr, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2353 Issued in MA

Practice address

80 Mechanic Street
Athol, MA 01331-2133

Phone

(978) 249-1295

Fax

(978) 249-5669

NPI assigned

Oct 8, 2009

Last updated

Oct 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Essam Khedr, DPM, LLC

  • Foot Surgery Podiatrist
  • Athol, MA
  • NPI 1376834515
  NPD Authorized official

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1457686487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MECHANIC STREET",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312133",
            "telephone_number": "978-249-1295",
            "fax_number": "978-249-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MECHANIC STREET",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312133",
            "telephone_number": "978-249-1295",
            "fax_number": "978-249-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEDR",
        "first_name": "ESSAM",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Jones III
• Jose M. Amparo MD PC
• Dionne Kane
• Alexander Kasper-Shaw, BA
• Lorraine Eva Kerz
• Darlene Ann Kilhart, P.T., D.P.T., M.S
• Elizabeth Marie Kimball, FNP-BC
• Colleen Kinne
• Erin Koshinsky, CRNP
• Melissa Kujala

• Foot & Ankle Surgery Podiatrist in Athol, MA
• Providers in Athol, MA by specialty
• Foot & Ankle Surgery Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.