Individual provider Active NPI

Wael Khoury, MD

  • Cardiovascular Disease Physician
  • Garfield HTS, OH
National Provider Identifier
1245227552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
041897 Issued in OH
Practice address
12000 McCracken Rd
Suite 460
Garfield HTS, OH 44125-2964
Phone
(216) 475-5370
Fax
(216) 475-5125
NPI assigned
Oct 3, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 041897 OH Primary

Addresses

Primary practice location

12000 McCracken Rd
Suite 460
Garfield HTS, OH 44125-2964

Mailing address

12000 McCracken Rd
Suite 460
Garfield HTS, OH 44125-2964
Phone (216) 475-5370

Other identifiers 1

IdentifierTypeStateIssuer
0461692MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100909000246 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032105200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041897OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Mar 7, 2013 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

12000 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 261-7970

12000 McCracken Rd
Ste 450
Garfield Hts, OH 44125
Phone (216) 475-5370

12000 McCracken Rd
Ste 460
Garfield Hts, OH 44125
Phone (216) 475-5370

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

6801 Mayfield Rd
Bldg 2
Mayfield Heights, OH 44124
Phone (216) 475-5370

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: wkhoury92189@direct.ccf.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245227552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "SUITE 460",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252964",
            "telephone_number": "216-475-5370",
            "fax_number": "216-475-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 MCCRACKEN RD",
            "address_2": "SUITE 460",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441252964",
            "telephone_number": "216-475-5370",
            "fax_number": "216-475-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "WAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "041897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461692",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield HTS, OH

Sources for this page

Verify at the official NPI Registry.