Organization Active NPI

Central PA Primary Carellc

  • Medical Physician Assistant
  • Altoona, PA
National Provider Identifier
1053279661
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
CENTRAL PA PRIMARY CARELLC
Practice address
914 S 12TH St
Altoona, PA 16602-6247
Phone
(814) 201-2309
Fax
(814) 201-2389
NPI assigned
Jan 13, 2026
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Ziad Khoury, MD, FACCNPI 1457357295
Title
Owner
Phone
(814) 201-2309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

914 S 12TH St
Altoona, PA 16602-6247

Mailing address

914 S 12TH St
Altoona, PA 16602-6247
Phone (814) 201-2309

Other practice location 1

350 Birch St
Patton, PA 16668-1138
Phone (814) 201-2309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260311001070 PA Part B Supplier - Clinic/Group Practice 6800379587 Receives reassigned benefits from 2 practitioners
Practice locations: Altoona, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1053279661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 S 12TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026247",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 S 12TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026247",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Birch St",
            "address_purpose": "LOCATION",
            "city": "Patton",
            "state": "PA",
            "postal_code": "166681138",
            "country_code": "US",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL PA PRIMARY CARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-201-2309",
        "authorized_official_credential": "MD, FACC"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.