NPIMap

Individual provider Active NPI

Firas George Khoury, MD

  • Nephrology Physician
  • Tigard, OR
National Provider Identifier
1013933480
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD27000 Issued in OR
Practice address
15895 SW 72ND Ave Ste 250
Tigard, OR 97224-7966
Phone
(503) 624-5630
Fax
(503) 624-9149
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD27000 OR Primary

Addresses

Primary practice location

15895 SW 72ND Ave Ste 250
Tigard, OR 97224-7966

Mailing address

1840 E Ray Rd
Chandler, AZ 85225-8720
Phone (855) 397-0197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000333 OR Practitioner - NephrologyPractitioner - Internal Medicine 3971401217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oregon Kidney and Hypertension Clinic LLCGroup PAC ID 6608316617, 2 clinicians

Practice addresses (Care Compare)

15895 SW 72ND Ave
Suite 250
Portland, OR 97224-7966
Phone (503) 624-5630

Hospital & facility affiliations

  • DaVita Meridian Park Dialysis Center Dialysis facility, Tualatin, OR, CCN 382549
  • DaVita Gresham Station Dialysis Dialysis facility, Gresham, OR, CCN 382578
  • DaVita Lake Road Dialysis Dialysis facility, Milwaukie, OR, CCN 382534
  • DaVita Portland Gateway Dialysis Dialysis facility, Portland, OR, CCN 382571
  • DaVita Portland MLK Dialysis Dialysis facility, Portland, OR, CCN 382572
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Adventist Health Portland Hospital, Portland, OR, CCN 380060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Kidney and Hypertension Clinic LLC Nephrology CurrentSince May 1, 2024 Accepting new patients
Pefha Health & Wellness Center Past Accepting new patients
Community Family Health Centers Inc Past Accepting new patients

Locations

15895 SW 72nd Ave
Ste 250
Tigard, OR 97224
Phone (503) 624-5630

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: firas.khoury@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1013933480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 E RAY RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258720",
            "telephone_number": "855-397-0197",
            "fax_number": "800-272-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15895 SW 72ND AVE STE 250",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247966",
            "telephone_number": "503-624-5630",
            "fax_number": "503-624-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "FIRAS",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OR",
            "license": "MD27000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.