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MICKAEL MARC ANTOINE AMINE KHOUZAMI MD
NPI 1780359257
Anesthesiology in Buffalo, NY

Active since August 16, 2021PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST # K3502, BUFFALO, NY 14203(716) 323-6570 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2023, Aug 16, 2021 (2 updates tracked since 2021).

About Mickael Marc Antoine Amine Khouzami Md NPPES

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

MICKAEL MARC ANTOINE AMINE KHOUZAMI MD (NPI 1780359257) is an individual anesthesiology provider in Buffalo, New York, licensed in New York (320679) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780359257
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameMICKAEL MARC ANTOINE AMINE KHOUZAMICredential: MD
Location Address1001 MAIN ST # K3502Buffalo, NY 14203-1009
Mailing Address1000 10th AveNew York, NY 10019-1147 · (347) 556-4454
Phone(716) 323-6570
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 16, 2021
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
✔ NPI 1780359257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in NY · 320679
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1001 MAIN ST # K3502, Buffalo, NY 14203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mickael Marc Antoine Amine Khouzami Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769838705
PECOS Enrollment IDI20231026002165
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.

Medicare Billing Reassignment

Medicare enrollment records show Mickael Marc Antoine Khouzami reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Lakes Anesthesiology, PC
0.1 mi
Specialist
818 ELLICOTT ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 182 clinicians in this Medicare group
NPI 1306852181 (716) 323-6570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Other Providers at the Same Location NPPES 18

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

STACEY WATT MD
Anesthesiology
1001 MAIN ST # K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
MICHAEL B MARINO MD
Anesthesiology
1001 MAIN ST # K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
MISS JULIE MARIE SMOLINSKI M.D.
Anesthesiology
1001 MAIN ST # K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
RICHARD JAMES BONEBERG CRNA
Nurse Anesthetist, Certified Registered
1001 MAIN ST # K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
JAMES ARMSTRONG MD
Anesthesiology
1001 MAIN ST # K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
DR. NAVYUGJIT SINGH VIRK MD
Anesthesiology
1001 MAIN ST # K3502
BUFFALO, NY 14203
Erie County (716) 878-7701
JERROLD LERMAN MD
Anesthesiology
1001 MAIN ST # K3502
BUFFALO, NY 14203
Erie County (716) 323-6570
DOUGLAS G KAHN MD
Anesthesiology
1001 MAIN ST # K3502
BUFFALO, NY 14203
Erie County (716) 323-6570

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 Mickael Marc Antoine Khouzami's NPI number?

The NPI number for Mickael Marc Antoine Khouzami is 1780359257. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is Mickael Marc Antoine Khouzami located?

Mickael Marc Antoine Khouzami practices at 1001 Main St # K3502, Buffalo, NY 14203. The listed phone number is (716) 323-6570.

What is Mickael Marc Antoine Khouzami's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Mickael Marc Antoine Khouzami enrolled in Medicare?

Yes. Mickael Marc Antoine Khouzami is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mickael Marc Antoine Khouzami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mickael Marc Antoine Khouzami reassigns Medicare benefits to Great Lakes Anesthesiology, PC (Buffalo, NY). The 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 Mickael Marc Antoine Khouzami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mickael Marc Antoine Khouzami affiliated with any hospitals?

According to CMS data, Mickael Marc Antoine Khouzami is affiliated with Sisters Of Charity Hospital and Kenmore Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Mickael Marc Antoine Khouzami was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.