DR. KEVIN A KHATER MD PHD NPI 1710938550

NPI Information

  • NPI: 1710938550
  • Provider Name: DR. KEVIN A KHATER, MD, PHD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6308 8TH AVE
    KENOSHA, WI
    ZIP 53143
  • Phone: (262) 577-8206

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NPI Details

DR. Kevin A Khater, MD, PHD is a radiation oncology radiology in Kenosha, WI with 26 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. DR. Kevin A Khater, MD, PHD NPI is 1710938550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2000

The provider's business location address is:

6308 8TH AVE
KENOSHA, WI
ZIP 53143-031
Phone: (262) 577-8206
Fax: (262) 577-8587

The NPI 1710938550 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Complex radiation therapy planning (HCPCS:77263)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complex radiation therapy planning for delivery of external radiation (HCPCS:77307)
  • 3d radiation therapy planning (HCPCS:77295)

The enumeration date for this NPI number is 5/15/2006 and was last updated on 6/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation Oncology01063742AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200860960MEDICAIDINDIANA
2I33928MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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