NOUREDEAN KHRISAT DO
NPI 1922701143
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 27, 2023PECOS Enrolled
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202(317) 274-0275(317) 274-0256 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Mar 27, 2023 (2 updates tracked since 2023).

About Nouredean Khrisat Do NPPES

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

NOUREDEAN KHRISAT DO (NPI 1922701143) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922701143
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNOUREDEAN KHRISATCredential: DO
Location Address550 UNIVERSITY BLVDIndianapolis, IN 46202-5149
Mailing Address8629 Mcvicker AveBurbank, IL 60459-2511 · (708) 238-1227
Fax(317) 274-0256
Sole ProprietorNo
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 27, 20242 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1922701143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
550 UNIVERSITY BLVD, Indianapolis, IN 46202

Other Names 1

Other Name (5)Dean Khrisat Do

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nouredean Khrisat Do 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.

Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Nurse Practitioner (Gerontology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Obstetrics & Gynecology (Gynecology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD, SUITE 4100
INDIANAPOLIS, IN 46202
Psychologist (Health)
550 UNIVERSITY BLVD, ROOM UH 3240
INDIANAPOLIS, IN 46202
Nurse Practitioner (Adult Health)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202

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 Nouredean Khrisat's NPI number?

The NPI number for Nouredean Khrisat is 1922701143. It was assigned to this individual provider in the NPPES registry on March 27, 2023. The provider is also known as Dean Khrisat Do.

Where is Nouredean Khrisat located?

Nouredean Khrisat practices at 550 University Blvd, Indianapolis, IN 46202. The listed phone number is (317) 274-0275.

What is Nouredean Khrisat's specialty?

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

Is Nouredean Khrisat enrolled in Medicare?

Yes. Nouredean Khrisat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nouredean Khrisat was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.