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WISAM KHADER D.O.
NPI 1841651767
Internal Medicine in Long Beach, CA

Active since March 20, 2016PECOS EnrolledAccepts Medicare Assignment
1050 LINDEN AVE, LONG BEACH, CA 90813(562) 491-9000 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2019, Jul 24, 2019, Apr 27, 2017 and 2 more (5 updates tracked since 2016).

About Wisam Khader D.o. NPPES

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

WISAM KHADER D.O. (NPI 1841651767) is an individual internal medicine provider in Long Beach, California, licensed in California (1841651767) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Palm Springs, and is a graduate of West Virginia School Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1841651767
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWISAM KHADERCredential: D.O.
Location Address1050 LINDEN AVELong Beach, CA 90813-3321
Mailing Address1050 Linden AveLong Beach, CA 90813-3321 · (562) 491-9000
Phone(562) 491-9000
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2016
Enumeration DateMarch 20, 2016
Last NPPES UpdateOctober 2, 20195 updates tracked since enumeration
✔ NPI 1841651767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 1841651767
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 20A16388 (CA)
1050 LINDEN AVE, Long Beach, CA 90813
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Secondary Practice Location 1

Location 11150 N Indian Canyon DrPalm Springs, CA 92262-0423 · Phone (760) 323-6511

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

Wisam Khader D.o. 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 ID749518488
PECOS Enrollment IDI20190820001388
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 Reassignments

2

Medicare enrollment records show Wisam Khader reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Socal Hospitalists
24 mi
Internal Medicine
4 PAVONA
Newport Coast, CA 92657
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group
NPI 1891520318 (562) 491-9469
Apex Healthcare Medical Center Inc
71 mi
Specialist
1525 W FLORIDA AVE, SUITE D
Hemet, CA 92543
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1447455423 (951) 929-6777

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
281 services62 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ARUN PANIKER DO
Student in an Organized Health Care Education/Training Program
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
DR. NEEL AMAR SHAH M.D.
Emergency Medicine
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9761
JI SUK KIM DO
Internal Medicine
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
OLAMIDE SONUGA
Student in an Organized Health Care Education/Training Program
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
CHANTELL STRONG
Hospitalist
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9000
KELLY WANG DO
Internal Medicine
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
CAOVINH T LE DO
Student in an Organized Health Care Education/Training Program
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9140
ANGELINE CHANG BARNES MD A MEDICAL CORPORATION
Anesthesiology
1050 LINDEN AVE
LONG BEACH, CA 90813
Los Angeles County (562) 491-9000

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 Wisam Khader's NPI number?

The NPI number for Wisam Khader is 1841651767. It was assigned to this individual provider in the NPPES registry on March 20, 2016.

Where is Wisam Khader located?

Wisam Khader practices at 1050 Linden Ave, Long Beach, CA 90813. The listed phone number is (562) 491-9000.

What is Wisam Khader's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wisam Khader enrolled in Medicare?

Yes. Wisam Khader 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 organizations bill Medicare for Wisam Khader's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wisam Khader reassigns Medicare benefits to 2 organizations: Socal Hospitalists (Newport Coast, CA) and Apex Healthcare Medical Center Inc (Hemet, CA). Each 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 Wisam Khader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wisam Khader was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.