Active NPI
Riad G Khoury PC
- Pain Medicine (Anesthesiology) Physician
- Farmington Hills, MI
National Provider Identifier
1114050499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 4301038502
- Legal business name
- RIAD G KHOURY PC
- Practice address
- 28521 Orchard Lake Rd Ste C
Farmington Hills, MI 48334-2934 - Phone
- (248) 987-6190
- Fax
- (248) 987-6193
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Riad G Khoury, MD
- Title
- Owner
- Phone
- (248) 987-6190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 4301038502 | MI | Primary |
Addresses
Primary practice location
28521 Orchard Lake Rd Ste C
Farmington Hills, MI 48334-2934
Mailing address
28521 Orchard Lake Rd
Suite C
Farmington Hills, MI 48334-2934
Phone (248) 987-6190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050F353180 | Other | MI | BCN GRP |
| 6805110001 | Other | MI | DME PTAN |
| 050F353180 | Other | MI | BCBS GRP |
| 1114050499 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1458 Momentum Pl
Chicago, IL 60689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399334400000",
"number": "1114050499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28521 ORCHARD LAKE RD",
"address_2": "SUITE C",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342934",
"telephone_number": "248-987-6190",
"fax_number": "248-987-6193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28521 ORCHARD LAKE RD STE C",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342934",
"telephone_number": "248-987-6190",
"fax_number": "248-987-6193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIAD G KHOURY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2014-05-06",
"status": "A",
"authorized_official_last_name": "KHOURY",
"authorized_official_first_name": "RIAD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-987-6190",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "MI",
"license": "4301038502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN GRP",
"identifier": "050F353180",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PTAN",
"identifier": "6805110001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GRP",
"identifier": "050F353180",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114050499",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.