Active NPI
Bill J. Khoury, M.D.
- Emergency Medicine Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A63305
- Practice address
- 1818 Verdugo Blvd
Ste 302
Glendale, CA 91208-1442 - Phone
- (818) 928-9373
- Fax
- (818) 301-2048
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A63305 | CA | |
| Emergency Medicine Physician | 207P00000X | A63305 | CA | Primary |
Addresses
Primary practice location
1818 Verdugo Blvd
Ste 302
Glendale, CA 91208-1442
Mailing address
1818 Verdugo Blvd
Ste 302
Glendale, CA 91208-1442
Phone (818) 928-9373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003868027 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Loma Linda University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 E Fern Ave
Suite B
Redlands, CA 92373-4000
Phone (909) 435-4852
26137 La Paz Rd
Suite 120
Mission Viejo, CA 92691-5329
Phone (949) 452-3309
Hospital & facility affiliations
- Hoag Home Health
- Memorialcare Saddleback Medical Center
- Providence Mission Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 630 |
| Removal of skin lesions | 27 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63305 | CA | MD | Clinical Social Worker |
| A63305 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Podiatry Group a Prof Corp | Current | Accepting new patients | |
| Medamerica Physician Solutions PC | Emergency Medicine | Current | Accepting new patients |
| Cep America - Auc PC | General Practice | Current | Accepting new patients |
| Cep America - Auc, PC | Current | Accepting new patients | |
| Cep America - Auc PC | General Practice | Current | Accepting new patients |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Bear Valley Community Health Care District | Past | Accepting new patients | |
| California Emergency Physician Medical Group | General Practice | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
22855 Lake Forest Dr
Ste A
Lake Forest, CA 92630
Phone (949) 452-7544
26732 Crown Valley Pkwy
Ste 585
Mission Viejo, CA 92691
Phone (949) 645-3333
23962 Alicia Pkwy
Ste I1
Mission Viejo, CA 92691
Phone (949) 297-0238
26137 La Paz Rd
Ste 120
Mission Viejo, CA 92691
Phone (949) 452-3309
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- bill.khoury.1@20515.direct.athenahealth.com
Organizations & group practices 8
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1568861524
-
- Foot & Ankle Surgery Podiatrist
- Redlands, CA
- NPI 1275867228
-
- Family Medicine Physician
- Mission Viejo, CA
- NPI 1205209848
-
- General Practice Physician
- Newport News, VA
- NPI 1104657329
-
- Long Term Care Pharmacy
- Big Bear Lake, CA
- NPI 1073553756
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1962791293
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1003868027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 VERDUGO BLVD",
"address_2": "STE 302",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081442",
"telephone_number": "818-928-9373",
"fax_number": "818-301-2048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 VERDUGO BLVD",
"address_2": "STE 302",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081442",
"telephone_number": "818-928-9373",
"fax_number": "818-301-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURY",
"first_name": "BILL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A63305",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A63305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003868027",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.