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REEM KHRAISHI MD
NPI 1912792078
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 10, 2025PECOS Enrolled
117 SOUTH 11TH STREET, 204 PAVILION, PHILADELPHIA, PA 19107(215) 503-3876 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Reem Khraishi Md NPPES

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

REEM KHRAISHI MD (NPI 1912792078) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912792078
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREEM KHRAISHICredential: MD
Location Address117 SOUTH 11TH STREET, 204 PAVILIONPhiladelphia, PA 19107
Mailing Address117 South 11th Street 204 PavilionPhiladelphia, PA 19107
Phone(215) 503-3876
Sole ProprietorNo
Enumeration DateApril 10, 2025
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1912792078 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.
117 SOUTH 11TH STREET, Philadelphia, PA 19107
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Other Names 1

Other Name (5)Reem O M Khraishi Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reem Khraishi Md 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 3

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

GRANT GILLAN MD
Student in an Organized Health Care Education/Training Program
117 SOUTH 11TH STREET, 204 PAVILION
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
ZACHARY DAVIS
Student in an Organized Health Care Education/Training Program
117 SOUTH 11TH STREET, 204 PAVILION
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876
AARON SAMUEL GOMEZ
Student in an Organized Health Care Education/Training Program
117 SOUTH 11TH STREET, 204 PAVILION
PHILADELPHIA, PA 19107
Philadelphia County (215) 503-3876

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 Reem Khraishi's NPI number?

The NPI number for Reem Khraishi is 1912792078. It was assigned to this individual provider in the NPPES registry on April 10, 2025. The provider is also known as Reem O M Khraishi MD.

Where is Reem Khraishi located?

Reem Khraishi practices at 117 South 11th Street 204 Pavilion, Philadelphia, PA 19107. The listed phone number is (215) 503-3876.

What is Reem Khraishi's specialty?

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

Is Reem Khraishi enrolled in Medicare?

Yes. Reem Khraishi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Reem Khraishi was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.