WISSAM KHOORY, MD,PC
NPI 1205008141
Internal Medicine in Waltham, MA
About Wissam Khoory, Md,pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WISSAM KHOORY, MD,PC (NPI 1205008141) is a healthcare organization registered as an internal medicine in Waltham, Massachusetts and active in the NPI registry since April 2008. The organization lists Michelle Cormier, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wissam Khoory, Md,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Wissam Khoory, MD,pc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Md,pc's NPI number?
The NPI number for Wissam Khoory, Md,pc is 1205008141. It was assigned to this organization in the NPPES registry on April 1, 2008.
Where is Wissam Khoory, Md,pc located?
Wissam Khoory, Md,pc is located at 20 Hope Ave Suite G03, Waltham, MA 02453. The listed phone number is (781) 893-4490.
What is Wissam Khoory, Md,pc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Wissam Khoory, Md,pc enrolled in Medicare?
Yes. Wissam Khoory, Md,pc is registered in the Medicare PECOS enrollment system.
When is Wissam Khoory, Md,pc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Wissam Khoory, Md,pc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Wissam Khoory, Md,pc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Wissam Khoory, Md,pc accept?
Health plans from Anthem Blue Cross and Blue Shield list Wissam Khoory, Md,pc 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.
When was this NPI record last updated?
The NPPES record for Wissam Khoory, Md,pc was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Wissam Khoory, Md,pc · NPI 1205008141
Internal Medicine organization in Waltham, Massachusetts. Organization record, active in the CMS NPPES registry since April 1, 2008.
## Identity
- **NPI:** 1205008141 (Entity type: Organization)
- **Enumerated:** April 1, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michelle Cormier, SECRETARY
## Practice location
- **Address:** 20 HOPE AVE, SUITE G03, Waltham, MA 02453-2721
- **Phone:** (781) 893-4490 · **Fax:** (781) 893-1030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Massachusetts, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 1, 2008
- **Other identifiers:** Other J18529
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Source: [NPI Profile](https://npiprofile.com/npi/1205008141) · Data from the CMS NPPES public registry.