AMMAR KHEDER (MD) – Epilepsy Physician, NPI 1770925976
Epilepsy Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
964 NEUROLOGY in MI
Provider Addresses for AMMAR KHEDER (MD)
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-6239
Type: Location
55 FRUIT STREET, EPILEPSY SERVICE, WANG ACC 7
MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
Phone: (617) 724-7999
Type: Mailing
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 495032528
Phone: (616) 267-2500
Type: Location
1400 TULLIE RD NE FL 4
ATLANTA, GA 303292309
Phone: (404) 785-5437
Fax: (404) 785-4750
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $4,385.
Total Amount is formed as General ($4,385) + Research ($0) + Ownership ($0) = $4,385.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: DIXI Medical USA Corp ($4,243).
Total Amount
$4,385
General + Research + Ownership
Payments
10
Total payment records
General Amount
$4,385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DIXI Medical USA Corp | $4,243 |
| Neurelis, Inc. | $90 |
| CATALYST PHARMACEUTICALS, INC. | $52 |
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: 2023-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160811000019 | I | Neurology | PA | TBD |
| I20190611002887 | I | Neurology | GA | TBD |
| I20231215001463 | I | Neurology | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49684)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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