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

Q: 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.

Q: 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.

Q: 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.

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: August 30, 2026.

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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