David W Koury, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

50699 Issued in KY

Practice address

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300

Phone

(270) 659-5945

Fax

(270) 659-5947

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Dave Koury Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

NeurologyAlso: Sleep Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinelake Physician Practice LLCGroup PAC ID 6800797507, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116
• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.koury.1@19475.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JACJCA

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.

• Pinelake Physician Practice, LLC

  • Rural Health Clinic/Center
  • Mayfield, KY
  • NPI 1295960532
  Medicare reassignment Care Compare group NPD
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865
  Medicare reassignment NPD
• Pinelake Physician Practice LLC

  • Rural Health Clinic/Center
  • Hickman, KY
  • NPI 1205494085
  NPD
• Pinelake Physician Practice, LLC

  • Rural Health Clinic/Center
  • Mayfield, KY
  • NPI 1841900347
  NPD
• T J Samson Community Hospital

  • Rural Health Clinic/Center
  • Cave City, KY
  • NPI 1629429360
  NPD
• T J Samson Community Hospital

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Glasgow, KY
  • NPI 1922343300
  NPD
• Pinelake Physician Practice, LLC

  • Internal Medicine Physician
  • Mayfield, KY
  • NPI 1861563439

  Neurology

  NPD (past)
• Douglas Neurology Associates, P.C.

  • Neurology Physician
  • Douglasville, GA
  • NPI 1548300452
  NPD (past)
• Fort Payne Clinic Corp.

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1396764395
  NPD (past)

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

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1245620640

  Hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1346244126
  Care Compare affiliation
• Pinelake Regional Hospital LLC

  • Rural Acute Care Hospital
  • Mayfield, KY
  • NPI 1891892741
  Care Compare affiliation

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1053526293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-659-5945",
            "fax_number": "270-659-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N L ROGERS WELLS BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411300",
            "telephone_number": "270-659-5945",
            "fax_number": "270-659-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURY",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "KY",
            "license": "50699",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "KY",
            "license": "50699",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "KY",
            "license": "50699",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "50699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100504800",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkoury@tjrh.cernerdirect.com",
            "affiliation": "N",
            "address_1": "310 N L Rogers Wells Blvd",
            "city": "Glasgow",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421411300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAVE",
            "last_name": "KOURY",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amelia R Kiser, MD
• Kylend Kiser, M.D.
• William Patrick Klapheke, MD
• Baylee Nicole Knox, APRN
• Katherine Sue Koster, COTA/L
• Carlos Enrique Kummerfeldt Fabian, M.D.
• Hannah Britt Kuzma, CCC-SLP
• Mark A Kuzma, DMD
• Mark Andrew Kuzma Jr., DMD
• Ky Cares Testing, LLC

• Neurology Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.

Verify at the official NPI Registry.