Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WISSAM KHOURY DPM LLC
NPI 1295064343
Podiatrist in Cleveland, OH

Active since December 21, 2009
2475 E 22ND ST STE 120, CLEVELAND, OH 44115(216) 367-9444 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2026, Jan 28, 2026, Mar 22, 2016 and 1 more (4 updates tracked since 2016).

About Wissam Khoury Dpm Llc NPPES

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

WISSAM KHOURY DPM LLC (NPI 1295064343) is a healthcare organization registered as a podiatrist in Cleveland, Ohio and active in the NPI registry since December 2009. The organization lists Wissam Khoury, Owner, as its authorized official.

NPPES Registry Identity

NPI1295064343
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameWISSAM KHOURY DPM LLC
Location Address2475 E 22ND ST STE 120Cleveland, OH 44115-3221
Mailing Address2475 E 22nd St Ste 120Cleveland, OH 44115-3221 · (216) 367-9444
Organization SubpartNo
Authorized OfficialWissam KhouryOwner · (216) 921-3668
Enumeration DateDecember 21, 2009
Last NPPES UpdateSeptember 8, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1295064343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 36003289
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2475 E 22ND ST STE 120, Cleveland, OH 44115

Other Identifiers 1

Medicaid3052468OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wissam Khoury Dpm Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Wissam Khoury DPM LLC, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner19
Certified Clinical Nurse Specialist (CNS)1
Podiatry1

Nearest to this location (20)

See all 21
Podiatry
NPI 1104886910
2351 E 22ND ST
Cleveland, OH 44115
(216) 367-9444
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1124226865
12205 FOREST AVE
Cleveland, OH 44120
(216) 551-2411
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1497331540
11706 CLIFTON BLVD
Lakewood, OH 44107
(216) 618-2131
✔ PECOS5.0 mi
Nurse Practitioner
NPI 1598912206
12513 BRIGHTON AVE
Cleveland, OH 44111
(216) 903-3105
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1578153953
10500 ANTENUCCI BLVD.
Garfield Heights, OH 44125
(440) 891-6500
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1346354008
20050 HARVARD AVE STE 304
Warrensville Heights, OH 44122
(216) 283-0750
✔ PECOS✔ Accepts Medicare7.8 mi
Nurse Practitioner
NPI 1922803923
6665 GROVE LN
Cleveland, OH 44134
(216) 444-9819
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1275136319
10372 REDBUD DR
Aurora, OH 44202
(440) 781-0514
✔ PECOS✔ Accepts Medicare18 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1154569838
1340 BELMONT AVE SUITE 2200
Youngstown, OH 44504
(330) 746-7400
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1902247752
7880 LINCOLE PL
Lisbon, OH 44432
(330) 424-5686
✔ PECOS68 mi
Nurse Practitioner
NPI 1821303116
1341 CLARK ST
Cambridge, OH 43725
(740) 435-2873
✔ PECOS101 mi
Nurse Practitioner
NPI 1366012064
355 E CAMPUS VIEW BLVD STE 180
Columbus, OH 43235
(614) 840-1688
✔ PECOS✔ Accepts Medicare118 mi
Nurse Practitioner
NPI 1528637600
1885 HENDERSON RD
Upper Arlington, OH 43220
(614) 451-6555
✔ PECOS✔ Accepts Medicare123 mi
Nurse Practitioner
NPI 1104100254
5100 W BROAD ST
Columbus, OH 43228
(614) 544-2058
✔ PECOS✔ Accepts Medicare131 mi
Nurse Practitioner
NPI 1679076038
770 W HIGH ST STE 240
Lima, OH 45801
(419) 996-2686
✔ PECOS✔ Accepts Medicare138 mi
Nurse Practitioner
NPI 1669996963
915 MICHIGAN ST
Sidney, OH 45365
(937) 498-2311
✔ PECOS✔ Accepts Medicare155 mi
Nurse Practitioner
NPI 1003480328
1807 LINDENHALL DR
Loveland, OH 45140
(513) 515-1392
✔ PECOS✔ Accepts Medicare206 mi
Nurse Practitioner
NPI 1255165270
10506B MONTGOMERY RD. SUITE 304
Montgomery, OH 45242
(513) 853-9000
✔ PECOS✔ Accepts Medicare209 mi
Nurse Practitioner
NPI 1902410111
3090 MCBRIDE CT STE B
Hamilton, OH 45011
(513) 863-8212
✔ PECOS✔ Accepts Medicare209 mi
Nurse Practitioner
NPI 1396411948
3000 HOSPITAL DR STE 130
Batavia, OH 45103
(513) 735-8924
✔ PECOS✔ Accepts Medicare212 mi
See all 21 clinicians

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 Khoury Dpm LLC's NPI number?

The NPI number for Wissam Khoury Dpm LLC is 1295064343. It was assigned to this organization in the NPPES registry on December 21, 2009.

Where is Wissam Khoury Dpm LLC located?

Wissam Khoury Dpm LLC is located at 2475 E 22nd St Ste 120, Cleveland, OH 44115. The listed phone number is (216) 367-9444.

What is Wissam Khoury Dpm LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Wissam Khoury Dpm LLC enrolled in Medicare?

Yes. Wissam Khoury Dpm LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wissam Khoury Dpm LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Wissam Khoury Dpm LLC. 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. The largest specialties are Nurse Practitioner (19), Certified Clinical Nurse Specialist (CNS) (1) and Podiatry (1). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wissam Khoury Dpm LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Wissam Khoury Dpm LLC 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 Khoury Dpm LLC was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.