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

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.

Hospital & facility affiliations 4

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

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 Home health agency · Utica, NY · CCN 337078
  • Acacia Certified Home Care Co Home health agency · Utica, NY · CCN 337423
  • Hospice and Palliative Care Inc New Hartford Hospice · New Hartford, NY · CCN 331510
  • Wynn Hospital Hospital · Utica, NY · CCN 330044

Merit-based Incentive Payment System (MIPS)

Final score
93.71 of 100 (individual)
Quality
100
Improvement activities
40
Cost
79.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1991851NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naji S a El-Khoury Internal Medicine Past
since Aug 22, 2011
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: najie@drnajielkhoury.medentdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SP060MedicaidNY
01561128MedicaidNY
115015OtherNYMVP

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 25, 2015.

{
    "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": []
}

Other providers in New Hartford, NY

All providers in New Hartford, NY · Internal Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.