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NOUREDDIN KHAZAM DDS
NPI 1205247798
Dentist - Oral and Maxillofacial Surgery in Cleveland, OH

Active since May 19, 2014PECOS Enrolled
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Noureddin Khazam Dds NPPES

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

NOUREDDIN KHAZAM DDS (NPI 1205247798) is an individual oral and maxillofacial surgery provider in Cleveland, Ohio, licensed in Ohio (30.24871) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205247798
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameNOUREDDIN KHAZAMCredential: DDS
Location Address2500 METROHEALTH DRCleveland, OH 44109-1998
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1998 · (216) 778-7800
Phone(216) 778-7800
Sole ProprietorYes
Enumeration DateMay 19, 2014
Last NPPES UpdateAugust 1, 2016
✔ NPI 1205247798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in OH · 30.24871
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2500 METROHEALTH DR, Cleveland, OH 44109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noureddin Khazam Dds 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.

Medicare Billing Reassignment

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

The Metrohealth System
0.1 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44109 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMIR RAZAVI MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
WILLIAM STEPHEN BARNES II DMD
Dentist (Oral and Maxillofacial Surgery)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
CATHERINE V. DABRAMO MD
Emergency Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
RHONDA KOCINSKI CNP
Nurse Practitioner (Family)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. VANESSA PHILLIS HO MD
Surgery (Surgical Critical Care)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. JOI S. COPELAND DDS
Dentist (General Practice)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4725
DR. FRANK KENNER PH.D.
Psychologist (Rehabilitation)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. KRUPA PARIKH MD
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800

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 Noureddin Khazam's NPI number?

The NPI number for Noureddin Khazam is 1205247798. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Noureddin Khazam located?

Noureddin Khazam practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is Noureddin Khazam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Noureddin Khazam enrolled in Medicare?

Yes. Noureddin Khazam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noureddin Khazam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noureddin Khazam reassigns Medicare benefits to The Metrohealth System (Cleveland, OH). 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 Noureddin Khazam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Noureddin Khazam accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 11 other insurers list Noureddin Khazam 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 Noureddin Khazam was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.