Wissam Rhayem

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A173652 Issued in CA

Practice address

15122 Morrison St
Sherman Oaks, CA 91403-1201

Phone

(240) 623-1985

Fax

(818) 671-1298

NPI assigned

Apr 1, 2014

Last updated

Oct 30, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sam@wzrmd.com

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.

• Valley Presbyterian Emergency Medical Associates

  • Emergency Medicine Physician
  • Van Nuys, CA
  • NPI 1033133103
  Medicare reassignment NPD
• Gila River Health Care Corporation

  dba Komatke Health Center

  • Critical Access Hospital
  • Laveen, AZ
  • NPI 1376538231

  TX

  Medicare reassignment NPD
• Gila River Health Care

  dba Thwajik Ke Outpatient Behavioral Health Services

  • Community/Behavioral Health Agency
  • Laveen, AZ
  • NPI 1598021495
  NPD
• Gila River Regional Behavioral Health Authority

  • Case Management Agency
  • Sacaton, AZ
  • NPI 1306971346
  NPD

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1568880136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15122 MORRISON ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031201",
            "telephone_number": "240-623-1985",
            "fax_number": "818-671-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15122 MORRISON ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031201",
            "telephone_number": "240-623-1985",
            "fax_number": "818-671-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHAYEM",
        "first_name": "WISSAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A173652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam@wzrmd.com",
            "affiliation": "N",
            "endpointDescription": "Wissam Ziad Rhayem, MD Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Communication",
            "address_1": "15122 Morrison St",
            "city": "Sherman Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914031201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Revive Healthcare Systems, Inc.
• Cesar Efrain Reyes Perez
• Olivia Reyes
• Shannon Reyes
• Ilya Reyter, M.D.
• Rhodes Care Inc. (Rhodes Care Hospice)
• John Edward Rhone, MFCC
• Rhythm & Rise LLC
• Ricardo Antonio Tan MD Inc.
• Daniel Allen Rice, M.A.

• Emergency Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.