Individual provider Active NPI

Hannah Boutros-Khoury, MD

  • Pediatrics Physician
  • Durham, NC
National Provider Identifier
1104490366
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2024-00660 Issued in NC
Practice address
7011 Fayetteville Rd Ste 210
Durham, NC 27713-7745
Phone
(919) 806-3335
NPI assigned
May 13, 2021
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 2024-00660 NC Primary

Addresses

Primary practice location

7011 Fayetteville Rd Ste 210
Durham, NC 27713-7745

Mailing address

5221 Paramount Pkwy Ste 220
Morrisville, NC 27560-5490

Other names 1

  • Dr. Hannah Therese Boutros Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hboutros324671@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240813003423 NC Practitioner - Pediatric Medicine 2163821463 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Multi-Specialty CurrentSince Aug 5, 2024 Accepting new patients
Unc Physicians Network LLC Multi-Specialty Current Accepting new patients

Locations

6013 Farrington Rd
Ste 301
Chapel Hill, NC 27517
Phone (984) 974-4191

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

7011 Fayetteville Rd
Ste 210
Durham, NC 27713
Phone (919) 806-3335

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: hboutros247137@directhisp.wakemed.org
  • Direct secure messaging: hboutros324671@direct.unc.nchie.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1104490366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 PARAMOUNT PKWY STE 220",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 FAYETTEVILLE RD STE 210",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137745",
            "telephone_number": "919-806-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTROS-KHOURY",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2024-00660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hboutros324671@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "7011 Fayetteville Rd Ste 210",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277137745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "BOUTROS",
            "middle_name": "THERESE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.