Naji Sa El Khoury, MD
Individual provider Active NPI Internal Medicine Physician · New Hartford, NY
NPI 1114039799 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1114039799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 1991851 (NY)
- Practice address
- 77 Genesee St
New Hartford, NY 13413-2336 - Phone
- (315) 732-6100
- Fax
- (315) 732-5542
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
77 Genesee St
New Hartford, NY 13413-2336
Phone (315) 732-6100
Hospital & facility affiliations
- Vna Utica and Oneida Co Chha
- Acacia Certified Home Care Co
- Hospice and Palliative Care Inc New Hartford
- Wynn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.71 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.02
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110426000576 | NY | Practitioner - Internal Medicine | 7810172459 |
Receives reassigned benefits from 1 practitioner Practice locations: New Hartford, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1991851 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naji S a El-Khoury | Internal Medicine | Past |
Accepting new patients |
Interoperability endpoints
- najie@drnajielkhoury.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1991851 | NY | Yes |
Addresses
Primary practice location
77 Genesee St
New Hartford, NY 13413-2336
Mailing address
77 Genesee St
New Hartford, NY 13413-2336
Phone (315) 732-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP060 | Medicaid | NY | |
| 01561128 | Medicaid | NY | |
| 115015 | Other | NY | MVP |
NPI Registry JSON
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1114039799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 GENESEE ST",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132336",
"telephone_number": "315-732-6100",
"fax_number": "315-732-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 GENESEE ST",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132336",
"telephone_number": "315-732-6100",
"fax_number": "315-732-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL KHOURY",
"first_name": "NAJI",
"middle_name": "SA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "1991851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SP060",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01561128",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "115015",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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All providers in New Hartford, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.