KHALDOUN KAMAL BEKDACHE (MD) – Surgery Physician, NPI 1851540108

KHALDOUN KAMAL BEKDACHE (MD) is a healthcare provider. based in Bangor, Maine. specializing in GENERAL SURGERY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials MD. They hold a License No. 054013 (CT). The NPI Number for KHALDOUN KAMAL BEKDACHE (MD) is 1851540108

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
KHALDOUN KAMAL BEKDACHE (MD)
NPI
1851540108
Phone
(209) 973-4949
Address
417 STATE ST. SURGERY AND TRAUMA SPECIALISTS OF MAINE
Enumeration Date
11 September 2008
Last Update Date
15 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079737000
Graduation Year
2004 (22 years ago)
PAC ID
6507153707
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20160930001252
Address ID
ME044016616BA489XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

219 GENERAL SURGERY in ME

Provider Addresses for KHALDOUN KAMAL BEKDACHE (MD)

  • 417 STATE ST. SURGERY AND TRAUMA SPECIALISTS OF MAINE

    WEBBER WEST, SUITE 340

    BANGOR, ME 04401

    Phone: (209) 973-4949

    Fax: (207) 973-4466

    Type: Location

  • 43 WHITING HILL RD

    BREWER, ME 044121005

    Phone: (207) 973-4949

    Fax: (207) 973-4466

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $1,611.

Total Amount is formed as General ($1,611) + Research ($0) + Ownership ($0) = $1,611.

Last reported payment date: 2023-04-15 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,577).

Total Amount

$1,611

General + Research + Ownership

Payments

5

Total payment records

General Amount

$1,611

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160930001252IGeneral SurgeryMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2522$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1915$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
99291Critical care, first 30-74 minutes1211$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 04401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062315161View full group profile
NameSpecialtyState
Physician AssistantME
Nurse PractitionerME
Certified Registered Nurse Anesthetist (Crna)ME
Cardiovascular Disease (Cardiology)ME
Endocrinology, Internal MedicineME
-ME
Nurse PractitionerME
Thoracic SurgeryME
H O S P I T A L I S TME
-NJ

Reviews

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Frequently asked questions

What number should I use to identify KHALDOUN KAMAL BEKDACHE (MD) for billing?
Administrative and clinical systems typically use NPI 1851540108 for KHALDOUN KAMAL BEKDACHE (MD).
Is KHALDOUN KAMAL BEKDACHE (MD) currently accepting referrals based on NPI status?
Registry metadata lists KHALDOUN KAMAL BEKDACHE (MD) as active.
What type of care does KHALDOUN KAMAL BEKDACHE (MD) provide?
KHALDOUN KAMAL BEKDACHE (MD)'s profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
Is KHALDOUN KAMAL BEKDACHE (MD) tied to Bangor, Maine?
If you are local to Bangor, Maine, KHALDOUN KAMAL BEKDACHE (MD) may be relevant to your search.
Why is information missing for KHALDOUN KAMAL BEKDACHE (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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