Isam Ahmed Khoja, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

MD 417953 Issued in PA

Practice address

201 State St
8TH Floor
Erie, PA 16550-0002

Phone

(814) 877-5330

Fax

(814) 877-5331

NPI assigned

Jun 22, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tristate Neurological Surgeons, P.C.

  • Specialist
  • Erie, PA
  • NPI 1770522724
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1477559607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "address_2": "8TH FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-5330",
            "fax_number": "814-877-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "address_2": "8TH FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-5330",
            "fax_number": "814-877-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOJA",
        "first_name": "ISAM",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD 417953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018743070002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prem Khatiwoda
• Shahida Khatoon
• Monty Khela, MD
• Dinesh C Khera, MD
• Ritu Khera, M.D.
• Hassan Khojasteh Jafari, MD
• Marc A Khouzami, DO
• Noman Khurshid, M.D
• Emily Kibbe, LCSW
• Jean M Kibler, CRNA

• Neurological Surgery Physician in Erie, PA
• Providers in Erie, PA by specialty
• Neurological Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.