NPIMap

Individual provider Active NPI

Stephen C Khoury, DO

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1255318234
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3769 Issued in OK
Practice address
1600 W University Blvd
Durant, OK 74701-3094
Phone
(580) 924-5500
Fax
(580) 924-1991
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M6232 TX
Family Medicine Physician 207Q00000X 3769 OK Primary

Addresses

Primary practice location

1600 W University Blvd
Durant, OK 74701-3094

Mailing address

1600 W University Blvd
Durant, OK 74701-3094
Phone (580) 924-5500

Other practice location 1

213 E Main St Ste 200
Calera, OK 74730-2116
Phone (580) 434-6800

Other practice location 2

104 W F Ave
Milburn, OK 73450-1504
Phone (580) 443-3533

Other identifiers 3

IdentifierTypeStateIssuer
100131660OtherOKOHCA OKLAHOMA HEALTHCARE AUTHORITY
28307OtherOKOBNDD
3769OtherOKOKLAHOMA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080208000465 TX Practitioner - Family PracticePractitioner - General Practice 1254385198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choctaw Nation of OklahomaGroup PAC ID 1759294838, 271 clinicians

Practice addresses (Care Compare)

1201 W Liberty Rd
Choctaw Nation Health Care Atoka
Atoka, OK 74525-1639
Phone (539) 316-6391

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3769OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citizen Potawatomi Nation CurrentSince Apr 3, 2019 Accepting new patients
Citizen Potawatomi Nation CurrentSince Apr 3, 2019 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 15, 2025 Accepting new patients
Citizen Potawatomi Nation Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Dec 15, 2025 Accepting new patients
Family Health Center of Southern Oklahoma Inc PastSince Aug 1, 2021 Accepting new patients

Locations

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

1600 N Washington Ave
Durant, OK 74701
Phone (580) 740-0205

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

781 Grand Casino Blvd
Shawnee, OK 74804
Phone (405) 964-4025

2307 Gordon Cooper Dr
Shawnee, OK 74801
Phone (405) 273-5236

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Interoperability endpoints

  • FHIR API: https://epicproxy.et1447.epichosted.com/APIProxyPRD/api/FHIR/R4

Organizations & group practices 7

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1255318234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 E Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Calera",
            "state": "OK",
            "postal_code": "747302116",
            "country_code": "US",
            "telephone_number": "580-434-6800",
            "fax_number": "580-434-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W F Ave",
            "address_purpose": "LOCATION",
            "city": "Milburn",
            "state": "OK",
            "postal_code": "734501504",
            "country_code": "US",
            "telephone_number": "580-443-3533",
            "fax_number": "580-434-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2023-03-07",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M6232",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHCA OKLAHOMA HEALTHCARE AUTHORITY",
            "identifier": "100131660",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBNDD",
            "identifier": "28307",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA STATE LICENSE",
            "identifier": "3769",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.