Individual ProviderKhameer KidiaInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address75 Francis Street, Boston, MA 02115(617) 732-5500PECOS EnrollmentBased on the most recent information from CMS, provider Khameer Kidia is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1982124889Provider TypeIndividualFull NameKidia, KhameerTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date6/21/2017Last Updated6/28/2020Contact InformationPractice LocationPractice Address75 Francis Street, Boston, MA 02115Phone(617) 732-5500FaxUnlisted FaxMailing LocationMailing Address75 Francis St, Boston, MA 02115-6110PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense281600MassachusettsCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense272374Massachusetts