Grace Nimat Khouri, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

30851 Issued in MN

Practice address

1230 E. Main Street
Mankato Clinic, LTD
Mankato, MN 56002-8674

Phone

(507) 625-1811

Fax

(952) 843-4301

NPI assigned

Mar 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Nimat Rachid Khuri Former name

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Current Care of Minnesota PC

  • Urgent Care Clinic/Center
  • Addison, TX
  • NPI 1548749286

  MN

  Medicare reassignment NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Racine, WI
  • NPI 1477730356

  WI

  Medicare reassignment NPD
• American Current Care P.a.

  • Urgent Care Clinic/Center
  • Beaumont, TX
  • NPI 1376356568
  NPD
• American Current Care P.a.

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1508044587
  NPD
• American Current Care PA

  • Urgent Care Clinic/Center
  • Milwaukee, WI
  • NPI 1548503436
  NPD
• Urgent Care Doctors Office, PA

  • Family Medicine Physician
  • Eden Prairie, MN
  • NPI 1447204433
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1063489151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8674 1230 E. MAIN STREET",
            "address_2": "MANKATO CLINIC LTD",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560028674",
            "telephone_number": "507-625-1811",
            "fax_number": "952-483-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E. MAIN STREET",
            "address_2": "MANKATO CLINIC, LTD",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560028674",
            "telephone_number": "507-625-1811",
            "fax_number": "952-843-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "GRACE",
        "middle_name": "NIMAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MN",
            "license": "30851",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "30851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836385400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIMAT",
            "last_name": "KHURI",
            "middle_name": "RACHID",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shabbir Khambaty, M.D.
• Shajia Khan
• Syed Anjum Khan, MD
• Milan Khealani, M.D
• Sandeep Singh Khosa, MD
• Kelsey Ann Kidd
• Hailey June Kiewiet
• Myung Jin Kim, PT
• Richard Hyungsang Kim, D.D.S., M.D.
• Chloe Kindgren

• All providers in Mankato, MN
• General Practice Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.