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KHALED GHONIEM MD
NPI 1063268050
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since April 29, 2024PECOS Enrolled
820 S WOOD ST STE 100, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khaled Ghoniem Md NPPES

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

KHALED GHONIEM MD (NPI 1063268050) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063268050
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKHALED GHONIEMCredential: MD
Location Address820 S WOOD ST STE 100Chicago, IL 60612-4325
Mailing Address820 S Wood St Ste 100Chicago, IL 60612-4325 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorYes
Enumeration DateApril 29, 2024
Last NPPES UpdateApril 30, 2024
NPPES CertifiedApril 30, 2024
✔ NPI 1063268050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
820 S WOOD ST STE 100, Chicago, IL 60612
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khaled Ghoniem Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CAILEAN ELLIOT MCKAY MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
KATHERINE ELIZABETH WINEBRAKE
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MR. RYAN WANG BS
Neurological Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
ABHISHEK DESHPANDE MD
Orthopaedic Surgery
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 413-2048
JEFFREY CARL PETERSON MD, PHD
Ophthalmology
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. ADDISON BAILEY WITT DO
Pediatrics
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
MAY BARAKAT
Family Medicine
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933
IMARI C MCCULLOUGH
Student in an Organized Health Care Education/Training Program
820 S WOOD ST STE 100
CHICAGO, IL 60612
Cook County (312) 996-2933

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 Khaled Ghoniem's NPI number?

The NPI number for Khaled Ghoniem is 1063268050. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Khaled Ghoniem located?

Khaled Ghoniem practices at 820 S Wood St Ste 100, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Khaled Ghoniem's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Khaled Ghoniem enrolled in Medicare?

Yes. Khaled Ghoniem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khaled Ghoniem was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.