Individual provider Active NPI

Khalid Hesham, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1619105475
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
280344 Issued in NY
Practice address
450 Clarkson Ave
MSC 30
Brooklyn, NY 11203-2012
Phone
(718) 270-7364
NPI assigned
Jun 30, 2009
Last updated
Aug 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 280344 NY Primary

Addresses

Primary practice location

450 Clarkson Ave
MSC 30
Brooklyn, NY 11203-2012

Mailing address

450 Clarkson Ave
MSC 30
Brooklyn, NY 11203-2012
Phone (718) 270-7364

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
I20151123002202 NY Practitioner - Orthopedic Surgery 4284934266 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280344NYMDPediatric Orthopaedic Surgery Physician
258063NYMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Sep 19, 2024 Accepting new patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
University Physicians of Brooklyn, Inc. Pediatric Orthopaedic Surgery CurrentSince Sep 10, 2015 Accepting new patients
True North Medical Group PC CurrentSince Apr 15, 2023 Accepting new patients
True North Medical Group PC Pediatric Orthopaedic Surgery CurrentSince Apr 15, 2023 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Sep 8, 2018 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Sep 10, 2015 Accepting new patients
True North Medical Group PC Past Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#30
Brooklyn, NY 11203
Phone (718) 270-2179

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

36 Lincoln Ave
Fl 3
Rockville Ctr, NY 11570

1099 Targee St
Staten Island, NY 10304

3333 Hylan Blvd
Staten Island, NY 10306
Phone (718) 667-3333

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: khalid.hesham.1@438.direct.athenahealth.com
  • Direct secure messaging: khalidhesham@mai.allscriptsdirect.net
  • Direct secure messaging: khalidhesham@sunydmc.allscriptsdirect.net
  • Direct secure messaging: khesham841526@nychhc.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1619105475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "MSC 30",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CLARKSON AVE",
            "address_2": "MSC 30",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032012",
            "telephone_number": "718-270-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESHAM",
        "first_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NY",
            "license": "280344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.