Individual provider Active NPI

Jean Pierre El Khoury, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Leonardtown, MD
National Provider Identifier
1003174707
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
D0079969 Issued in MD
Practice address
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone
(301) 475-6119
NPI assigned
May 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD040521 DC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0101260552 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0079969 MD Primary

Addresses

Primary practice location

25500 Point Lookout Rd
Leonardtown, MD 20650-2015

Mailing address

8380 Greensboro Dr Unit 618
MC Lean, VA 22102-3520
Phone (571) 395-8544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DC, TX, MS5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20160803002752 MD Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Nephrology 2466769823 Reassigns benefits to 4 organizations
I20160829002237 VA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 2466769823 Reassigns benefits to 2 organizations
I20191022000657 DC Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 2466769823 Reassigns benefits to 2 organizations
I20230922003837 TX Practitioner - Critical Care (Intensivists) 2466769823 Reassigns benefits to 1 organization
I20240102000189 MS Practitioner - Critical Care (Intensivists) 2466769823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anacostia Medical AssociatesGroup PAC ID 8123257821, 24 clinicians
Ccmma SC LLCGroup PAC ID 7911242201, 17 clinicians
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

1820 Reston Row PLZ
Reston, VA 20190-5577
Phone (845) 702-2711

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

Hospital & facility affiliations

  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
  • Stonesprings Hospital Center Hospital, Dulles, VA, CCN 490145
  • Audubon County Memorial Hospital Hospital, Audubon, IA, CCN 161330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD040521DCMDCritical Care Medicine (Internal Medicine) Physician
D0079969MDMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anacostia Medical Associates Critical Care Medicine CurrentSince May 1, 2019 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 22, 2021 Accepting new patients
Copiah County Medical Center CurrentSince Nov 8, 2023 Accepting new patients
Copiah County Medical Center CurrentSince Nov 8, 2023 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Jun 22, 2019 Accepting new patients
Greenwood Leflore Hospital CurrentSince Dec 11, 2023 Accepting new patients
Lifebridge Community Physicians, Inc CurrentSince Jun 22, 2019 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Jun 13, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 22, 2021 Accepting new patients
Ccmma SC LLC Critical Care Medicine CurrentSince Jul 1, 2022 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
Ccmma Ca PC Critical Care Medicine Past Accepting new patients
Ccmma NJ LLC Critical Care Medicine Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

27190 Highway 28
Hazlehurst, MS 39083
Phone (601) 574-7000

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Interoperability endpoints

  • Direct secure messaging: jelkhoury1254906@direct.sw.org
  • Direct secure messaging: jelkhoury547969@direct.umm.edu

Organizations & group practices 36

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 36

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1003174707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 GREENSBORO DR UNIT 618",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023520",
            "telephone_number": "571-395-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 POINT LOOKOUT RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502015",
            "telephone_number": "301-475-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL KHOURY",
        "first_name": "JEAN PIERRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DC",
            "license": "MD040521",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0101260552",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0079969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.