Individual provider Active NPI

Stephanie Nazih Khoury

  • Internal Medicine Physician
  • Ocoee, FL
National Provider Identifier
1043848435
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME166115 Issued in FL
Practice address
10000 W Colonial Dr Ste 381
Ocoee, FL 34761-3435
Phone
(321) 841-3467
Fax
(407) 253-2563
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME166115 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr Ste 381
Ocoee, FL 34761-3435

Mailing address

951 NW 13TH St Ste 3F
Boca Raton, FL 33486-2359
Phone (561) 465-4008

Other practice location 1

951 NW 13th St Ste 3F
Boca Raton, FL 33486-2359
Phone (561) 465-4008

Other practice location 2

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-5390

Other identifiers 1

IdentifierTypeStateIssuer
129260400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250826001327 FL Practitioner - Internal Medicine 8921429697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concierge Medicine of South Florida PLLCGroup PAC ID 0244730414, 2 clinicians

Practice addresses (Care Compare)

951 NW 13TH St
Suite 3F
Boca Raton, FL 33486-2359
Phone (561) 465-4008

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166115FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Jan 5, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Concierge Medicine of South Florida PLLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

951 NW 13th St
Ste 3F
Boca Raton, FL 33486
Phone (561) 465-4008

10000 W Colonial Dr
Ste 381
Ocoee, FL 34761
Phone (321) 841-3467

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: stephanie.khoury.1@34029.direct.athenahealth.com

Organizations & group practices 4

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 1

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1043848435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NW 13TH ST STE 3F",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862359",
            "telephone_number": "561-465-4008",
            "fax_number": "833-760-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 381",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613435",
            "telephone_number": "321-841-3467",
            "fax_number": "407-253-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 NW 13th St Ste 3F",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862359",
            "country_code": "US",
            "telephone_number": "561-465-4008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Meadows Rd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862304",
            "country_code": "US",
            "telephone_number": "561-955-5390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "STEPHANIE",
        "middle_name": "NAZIH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME166115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129260400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.