Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wissam E Khoury, DPM

Individual provider Podiatrist · NPI 1104886910

Wissam E Khoury, DPM is a Podiatry in Cleveland, Ohio. Graduated from Kent State University College of Podiatric Medicine in 2001, 25 years ago. Practices with Wissam Khoury DPM LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
25
Trained at
Kent State University College of Podiatric Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2351 E 22nd St
Cleveland, OH 44115
Phone: (216) 367-9444
Fax: (216) 453-0331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 36003289 (OH)

Record details

NPI number1104886910
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESMarch 22, 2016
Mailing address429 Front St, Berea, OH 44017-1716

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2001 (25 years in practice)
Group practice Wissam Khoury Dpm Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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