Yazan Suhel Khouri, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301094715 Issued in MI

Practice address

126 Medical Dr
Palestine, TX 75801-8506

Phone

(903) 731-0509

Fax

(903) 731-0509

NPI assigned

Sep 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
• Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
• Ut Health East Texas Henderson Hospital Hospital, Henderson, TX, CCN 450475
• Ut Health East Texas Jacksonville Hospital Hospital, Jacksonville, TX, CCN 450194
• Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yazan.khouri@mghvi.directbygreenway.com
• Direct secure messaging: ykhouri308007@direct.hfhs.org
• Direct secure messaging: ykhouri1347893@ahs.direct-ci.com
• Direct secure messaging: yazan.khouri.1@20210.direct.athenahealth.com

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.

• Etmc Physician Group Inc.

  • Cardiovascular Disease Physician
  • Tyler, TX
  • NPI 1609382662
  Medicare reassignment Care Compare group NPD
• Texas Specialty Physicians

  • Family Medicine Physician
  • Palestine, TX
  • NPI 1558521179

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Etmc Physician Group Inc.

  • Rural Health Clinic/Center
  • Chandler, TX
  • NPI 1235706581
  NPD
• Texas Specialty Physicians

  • Psychiatry Physician
  • Palestine, TX
  • NPI 1861378168
  NPD
• Texas Specialty Physicians

  • Surgery Physician
  • Ennis, TX
  • NPI 1942538616
  NPD
• Valley Cardiology, PA

  • Interventional Cardiology Physician
  • Fayetteville, NC
  • NPI 1174965826
  NPD

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

• Athens Hospital, LLC

  • General Acute Care Hospital
  • Athens, TX
  • NPI 1417465824
  Care Compare affiliation
• Henderson Hospital, LLC

  • General Acute Care Hospital
  • Henderson, TX
  • NPI 1326546797
  Care Compare affiliation
• Jacksonville Hospital LLC

  • General Acute Care Hospital
  • Jacksonville, TX
  • NPI 1730697350
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1164510673
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  • Rehabilitation Hospital
  • Palestine, TX
  • NPI 1326113762
  Care Compare affiliation
• Tyler Regional Hospital LLC

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1407364847
  Care Compare affiliation

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1154654861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018506",
            "telephone_number": "903-731-0509",
            "fax_number": "903-731-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MEDICAL DR",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018506",
            "telephone_number": "903-731-0509",
            "fax_number": "903-731-0509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 W Fair Ave Ste 334",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498555407",
            "country_code": "US",
            "telephone_number": "906-225-3870",
            "fax_number": "906-225-3975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "YAZAN",
        "middle_name": "SUHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301094715",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301094715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Sharp Keith, LPC
• Deborah Gail Kendall, PT
• Chloe Leigh Kenley, M.S., CCC-SLP
• Bridget Rose Kennedy, LPC
• Abby N Kerschner, CPHT
• George M Kingsley III, DO
• John Klein, MD
• KMJ Home Health Services Inc
• Heidi Christine Knowles, MD
• Chester Luckett Kolstad III, DDS

• Cardiovascular Disease Physician in Palestine, TX
• Providers in Palestine, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.