DR. KHALED ALI QASEM M.D.
NPI 1568686145
General Practice in Smyrna, GA

Q: What is Khaled Qasem's NPI number?

The NPI number for Khaled Qasem is 1568686145. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Q: What is Khaled Qasem's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Khaled Qasem was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 April 13, 2007PECOS Enrolled

3073 DUNN ST SE, SMYRNA, GA 30080(478) 892-3189(478) 892-3189 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Khaled Ali Qasem M.d. NPPES

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

DR. KHALED ALI QASEM M.D. (NPI 1568686145) is an individual general practice provider in Smyrna, Georgia, licensed in Georgia (025816) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568686145

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. KHALED ALI QASEMCredential: M.D.

Location Address3073 DUNN ST SESmyrna, GA 30080-4470

Mailing Address3073 Dunn St SeSmyrna, GA 30080-4470 · (478) 892-3189 · Fax (478) 892-3189

Phone(478) 892-3189

Fax(478) 892-3189

Sole ProprietorYes

Enumeration DateApril 13, 2007

Last NPPES UpdateJune 14, 2012

✔ NPI 1568686145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in GA · 025816

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3073 DUNN ST SE, Smyrna, GA 30080

Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND30534GA

Medicaid00275195AGA

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. Khaled Ali Qasem M.d. 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.

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 Khaled Qasem's NPI number?

The NPI number for Khaled Qasem is 1568686145. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Khaled Qasem located?

Khaled Qasem practices at 3073 Dunn St SE, Smyrna, GA 30080. The listed phone number is (478) 892-3189.

What is Khaled Qasem's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Khaled Qasem enrolled in Medicare?

Yes. Khaled Qasem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khaled Qasem was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.