MAGUED NADIM KHOUZAM (M.D.) – Surgery Physician, NPI 1912932260
Surgery Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,601 GENERAL SURGERY in OH
Provider Addresses for MAGUED NADIM KHOUZAM (M.D.)
7740 Washington Village Dr Ste 110
Dayton, OH 454593994
Phone: (937) 439-4145
Type: Location
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 762-1310
Type: Mailing
7370, Turfway Road, Florence, Boone County, Kentucky, 41042, United States
STE 150
FLORENCE, KY 410424895
Phone: (859) 578-5880
Fax: (859) 578-5881
Type: Location
30, West McCreight Avenue, Springfield, Clark County, Ohio, 45504, United States
STE 209
SPRINGFIELD, OH 455041853
Phone: (859) 578-5880
Fax: (859) 578-5881
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 $193.
Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.
Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Davol Inc. ($158).
Total Amount
$193
General + Research + Ownership
Payments
5
Total payment records
General Amount
$193
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $158 |
| Baxter Healthcare | $29 |
| Intuitive Surgical, Inc. | $6 |
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: 2026-02-17
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 |
|---|---|---|---|---|
| I20211110000215 | I | General Surgery | VI | TBD |
| I20250724000417 | I | General Surgery | IL | TBD |
| I20260217000288 | I | General Surgery | WV | 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 45459)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | KY | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 14 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| General Surgery | IL | |
| - | TN | |
| A N E S T H E S I O L O G Y | IA | |
| Physician Assistant | IL | |
| - | IL | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology) | WI | |
| Nurse Practitioner | IL |
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