Individual provider Active NPI

Khaled A. Instrum, M.D.

  • Orthopaedic Surgery Physician
  • North Conway, NH
National Provider Identifier
1891774097
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
22289 Issued in NH
Practice address
3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone
(603) 356-7061
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 80001 MA
Orthopaedic Surgery Physician 207X00000X 22289 NH Primary

Addresses

Primary practice location

3073 White Mountain Hwy
North Conway, NH 03860-7101

Mailing address

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (413) 536-5814

Other practice location 1

10 Hospital Dr
Suite 201
Holyoke, MA 01040-6603
Phone (413) 536-5814

Other identifiers 2

IdentifierTypeStateIssuer
9702547MedicaidMA
3127362MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110126000901 MA Practitioner - Orthopedic Surgery 7214116953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Dalhousie University, Faculty of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Orthopaedic Associates IncGroup PAC ID 2567498363, 26 clinicians

Practice addresses (Care Compare)

24 Park St
Pittsfield, MA 01201-0900
Phone (413) 499-6600

Hospital & facility affiliations

  • Berkshire Visiting Nurse Association Home health agency, Pittsfield, MA, CCN 227122
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
  • North Adams Regional Hospital Corporation Hospital, North Adams, MA, CCN 221304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement37
Lower limb (leg) arthroscopy (minimally invasive joint repair)27
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22289NHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Orthopaedic Associates, Inc. Orthopaedic Surgery CurrentSince Feb 14, 2022 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Nov 28, 2010 Accepting new patients
Berkshire Orthopaedic Associates, Inc. CurrentSince Feb 14, 2022 Accepting new patients
Berkshire Orthopaedic Associates, Inc. Past Accepting new patients

Locations

10 Hospital Dr
#203
Holyoke, MA 01040
Phone (413) 536-5814

575 Beech St
Ste 402
Holyoke, MA 01040
Phone (413) 534-2820

10 Hospital Dr
Ste 201
Holyoke, MA 01040
Phone (413) 533-3923

24 Park St
Pittsfield, MA 01201
Phone (413) 499-6600

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 4

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1891774097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "413-536-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-7061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hospital Dr",
            "address_2": "SUITE 201",
            "address_purpose": "LOCATION",
            "city": "Holyoke",
            "state": "MA",
            "postal_code": "010406603",
            "country_code": "US",
            "telephone_number": "413-536-5814",
            "fax_number": "413-536-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INSTRUM",
        "first_name": "KHALED",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "80001",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "22289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9702547",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127362",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

Verify at the official NPI Registry.