WISSAM J KHOORY M.D.
NPI 1013962430
Internal Medicine in Waltham, MA

Q: What is Wissam Khoory's NPI number?

The NPI number for Wissam Khoory is 1013962430. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Wissam Khoory's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Wissam Khoory was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 24, 2006PECOS Enrolled

20 HOPE AVE, SUITE G03, WALTHAM, MA 02453(781) 893-4490 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Wissam J Khoory M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISSAM J KHOORY M.D. (NPI 1013962430) is an individual internal medicine provider in Waltham, Massachusetts, licensed in Massachusetts (153969) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Boston University School Of Medicine (1995).

NPPES Registry Identity

NPI1013962430

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameWISSAM J KHOORYCredential: M.D.

Location Address20 HOPE AVE, SUITE G03Waltham, MA 02453-2721

Mailing Address20 Hope Ave, Suite. G03Waltham, MA 02453-2721 · (781) 893-4490

Phone(781) 893-4490

Sole ProprietorYes

Medical School CMSBoston University School Of MedicineGraduated 1995

Enumeration DateMay 24, 2006

Last NPPES UpdateJuly 5, 2012

✔ NPI 1013962430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 153969

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

20 HOPE AVE, Waltham, MA 02453

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wissam J Khoory M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911190111

PECOS Enrollment IDI20101020000826

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Wissam Khoory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wissam Khoory, MD,pc

Same address

Internal Medicine

20 HOPE AVE, SUITE G03
Waltham, MA 02453

Reassigned Medicare billing, Massachusetts enrollment

NPI 1205008141 (781) 893-4490

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

680 services404 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

456 services456 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

379 services258 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

175 services175 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

165 services165 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

131 services131 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

50 services43 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

45 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

29 services29 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

29 services29 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

26 services26 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

19 services17 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

19 services19 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore Medical Center -

Acute Care Hospitals · Salem, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220035

Location81 Highland AvenueSalem, MA 01970 · Essex County

Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA

OwnershipVoluntary non-profit - Private

CMS Certification Number220075

Location243 Charles StreetBoston, MA 02114 · Suffolk County

Emergency services

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220101

Location2014 Washington StreetNewton, MA 02462 · Middlesex County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers58 claims127 services$5.89 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers35 claims41 services$0.89 avg. paid by Medicare

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955

DME-Wheelchairs · category DD021N

2 suppliers11 claims11 services$13.77 avg. paid by Medicare

Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028

DME-Wheelchairs · category DD021N

2 suppliers11 claims11 services$14.07 avg. paid by Medicare

Manual adult size wheelchair, includes tilt in space E1161

DME-Wheelchairs · category DD000N

2 suppliers11 claims11 services$187.05 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$198.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIRST RESPONSE CLINICAL SERVICES, LLC

Clinic/Center (Medical Specialty)

20 HOPE AVE, SUITE 204
WALTHAM, MA 02453

Middlesex County (866) 604-0911

DR. GIGI GIRGIS M.D.

Psychiatry & Neurology (Neurology)

20 HOPE AVE, SUITE 203
WALTHAM, MA 02453

Middlesex County (781) 647-3550

DR. MARTIN RICHLER M.D.

Ophthalmology

20 HOPE AVE, SUITE 212
WALTHAM, MA 02453

Middlesex County (781) 891-1447

MARK A DEYAB LICSW

Counselor (Mental Health)

20 HOPE AVE, G-05
WALTHAM, MA 02453

Middlesex County (781) 799-3949

MARYBETH ANN MILLS RN

Specialist/Technologist Cardiovascular (Vascular Specialist)

20 HOPE AVE, SUITE 204
WALTHAM, MA 02453

Middlesex County (866) 604-0911

SOLOMON A. GABBAY, MD PC

Internal Medicine (Cardiovascular Disease)

20 HOPE AVE, SUITE 206
WALTHAM, MA 02453

Middlesex County (781) 894-2498

WISSAM KHOORY, MD,PC

Internal Medicine

20 HOPE AVE, SUITE G03
WALTHAM, MA 02453

Middlesex County (781) 893-4490

TWINBROOK SURGICAL ASSOCIATES

Surgery

20 HOPE AVE, STE 207
WALTHAM, MA 02453

Middlesex County (781) 893-6520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wissam Khoory's NPI number?

The NPI number for Wissam Khoory is 1013962430. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Wissam Khoory located?

Wissam Khoory practices at 20 Hope Ave Suite G03, Waltham, MA 02453. The listed phone number is (781) 893-4490.

What is Wissam Khoory's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wissam Khoory enrolled in Medicare?

Yes. Wissam Khoory is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wissam Khoory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wissam Khoory reassigns Medicare benefits to Wissam Khoory, MD,pc (Waltham, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wissam Khoory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wissam Khoory accept?

Health plans from Anthem Blue Cross and Blue Shield list Wissam Khoory as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Wissam Khoory affiliated with any hospitals?

According to CMS data, Wissam Khoory is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Massachusetts Eye And Ear Infirmary -, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Wissam Khoory was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.