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KHALED NOUEIHED GHERZEDDINE
NPI 1821730979
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 10, 2022PECOS Enrolled
1015 WALNUT ST STE 620, PHILADELPHIA, PA 19107(215) 955-6864(215) 955-2878 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khaled Noueihed Gherzeddine NPPES

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

KHALED NOUEIHED GHERZEDDINE (NPI 1821730979) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821730979
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKHALED NOUEIHED GHERZEDDINE
Location Address1015 WALNUT ST STE 620Philadelphia, PA 19107-5005
Mailing Address1015 Walnut St Ste 620Philadelphia, PA 19107-5005 · (215) 955-6864 · Fax (215) 955-2878
Phone(215) 955-6864
Fax(215) 955-2878
Sole ProprietorNo
Enumeration DateApril 10, 2022
NPPES CertifiedApril 10, 2022
✔ NPI 1821730979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1015 WALNUT ST STE 620, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khaled Noueihed Gherzeddine 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.

Other Providers at the Same Location NPPES 20

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

ALLISON S DOERMANN MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
DR. GREGORY STEVEN HANSON MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
KATHLEEN MARY JARRELL
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
DR. VICTOR IVAN RIVERA MD
Radiology (Diagnostic Radiology)
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
ROBERT SHAWN KEEBLER MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
CHELSEA MATZKO MD
Surgery
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
DR. STEPHEN MATTHEW BAIO MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864
SNEHA SREE ALAPARTHI MD
Student in an Organized Health Care Education/Training Program
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6864

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 Noueihed Gherzeddine's NPI number?

The NPI number for Khaled Noueihed Gherzeddine is 1821730979. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Khaled Noueihed Gherzeddine located?

Khaled Noueihed Gherzeddine practices at 1015 Walnut St Ste 620, Philadelphia, PA 19107. The listed phone number is (215) 955-6864.

What is Khaled Noueihed Gherzeddine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Khaled Noueihed Gherzeddine enrolled in Medicare?

Yes. Khaled Noueihed Gherzeddine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khaled Noueihed Gherzeddine was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.