Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. OMAR KHDEIR MD
NPI 1205453446
Internal Medicine - Interventional Cardiology in Boston, MA

Q: What is Omar Khdeir's NPI number?

The NPI number for Omar Khdeir is 1205453446. It was assigned to this individual provider in the NPPES registry on July 4, 2020.

Q: What is Omar Khdeir's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Omar Khdeir was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 04, 2020PECOS Enrolled

55 FRUIT ST, BOSTON, MA 02114(617) 724-4175 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2026, Jun 9, 2023, Jul 4, 2020 (3 updates tracked since 2020).

On this page

About Dr. Omar Khdeir Md NPPES

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

DR. OMAR KHDEIR MD (NPI 1205453446) is an individual interventional cardiology provider in Boston, Massachusetts, licensed in Massachusetts (3020011) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205453446

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. OMAR KHDEIRCredential: MD

Location Address55 FRUIT STBoston, MA 02114-2621

Mailing Address55 Fruit StBoston, MA 02114-2621 · (617) 724-4175

Phone(617) 724-4175

Sole ProprietorNo

Enumeration DateJuly 4, 2020

Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1205453446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in MA · 3020011

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 41097 (OK)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 262387 (NC)

55 FRUIT ST, Boston, MA 02114

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Omar Khdeir 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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.

Leave this field empty