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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: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Mar 22, 2016, Jan 11, 2016 (3 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
Phone(216) 367-9444
Organization SubpartNo
Authorized OfficialWissam KhouryOwner · (216) 921-3668
Enumeration DateDecember 21, 2009
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 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
Open in Google Maps ↗

Other Identifiers 1

Medicaid3052468OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARIKRISHNA CHOUDARY PONNAM MD
Internal Medicine
2475 E 22ND ST STE 120
CLEVELAND, OH 44115
Cuyahoga County (216) 431-1500
ST VINCENT CHARITY MEDICAL CENTER
Clinic/Center (Primary Care)
2475 E 22ND ST STE 120
CLEVELAND, OH 44115
Cuyahoga County (216) 431-1500
DR. MOHAMMED KHORSHED ALAM MAZUMDER MD
Internal Medicine (Gastroenterology)
2475 E 22ND ST STE 120
CLEVELAND, OH 44115
Cuyahoga County (216) 431-1500

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.

What insurance does Wissam Khoury Dpm LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource 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 January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.