Individual provider Active NPI

Khaled Youcef Himed

  • Internal Medicine Physician
  • Wilmington, NC
National Provider Identifier
1679153688
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024-01709 Issued in NC
Practice address
5145 College Rd S
Wilmington, NC 28412-2207
Phone
(910) 662-6000
Fax
(910) 550-3787
NPI assigned
Apr 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2024-01709 NC Primary

Addresses

Primary practice location

5145 College Rd S
Wilmington, NC 28412-2207

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-6000

Other practice location 1

703 N Flamingo Rd
Pembroke Pines, FL 33028-1006
Phone (954) 265-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240903000806 NC Practitioner - Internal Medicine 9931509452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

7910 US Hwy S
Unit 120
Rocky Point, NC 28457-9431
Phone (910) 300-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-01709NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Aug 1, 2024 Accepting new patients
New Hanover Medical Group PA Internal Medicine Past Accepting new patients

Locations

7910 US Hwy 117 S
Unit 120
Rocky Point, NC 28457
Phone (910) 259-0400

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

5145 College Rd S
Wilmington, NC 28412
Phone (910) 662-6000

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

Interoperability endpoints

  • Direct secure messaging: khimed1596359@direct.novanthealth.org

Organizations & group practices 4

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 3

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1679153688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-6000",
            "fax_number": "910-792-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 COLLEGE RD S",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122207",
            "telephone_number": "910-662-6000",
            "fax_number": "910-550-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 N Flamingo Rd",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281006",
            "country_code": "US",
            "telephone_number": "954-265-4463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIMED",
        "first_name": "KHALED",
        "middle_name": "YOUCEF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-01709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.