AMMAR KHEDER (MD) – Epilepsy Physician, NPI 1770925976

AMMAR KHEDER (MD) is a healthcare provider. based in Traverse city, Michigan. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 82879 (GA). The NPI Number for AMMAR KHEDER (MD) is 1770925976

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
AMMAR KHEDER (MD)
NPI
1770925976
Phone
(231) 935-6239
Address
1105 Sixth St
Enumeration Date
29 July 2013
Last Update Date
9 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2001 (25 years ago)
PAC ID
3779711791
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20190611002887
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
choa@choa.gadirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:12State licenses:2Other names

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160811000019INeurologyPATBD
I20190611002887INeurologyGATBD
I20231215001463INeurologyMITBD

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.

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

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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What identifier follows AMMAR KHEDER (MD) across health systems?
The NPI 1770925976 uniquely identifies AMMAR KHEDER (MD) in U.S. healthcare data.
Is AMMAR KHEDER (MD)'s NPI status active today?
Active status means AMMAR KHEDER (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits AMMAR KHEDER (MD)?
NPPES ties AMMAR KHEDER (MD) to Epilepsy Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit AMMAR KHEDER (MD) in Traverse City, Michigan?
For routing, start with Traverse City, Michigan for AMMAR KHEDER (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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