Active NPI
Maroun E El-Khoury, MD
- Hematology & Oncology Physician
- West Burlington, IA
National Provider Identifier
1255357943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 36404
- Practice address
- 1225 S Gear Ave
Suite 152
West Burlington, IA 52655-1691 - Phone
- (319) 753-1220
- Fax
- (319) 753-5464
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 36404 | IA | Primary |
Addresses
Primary practice location
1225 S Gear Ave
Suite 152
West Burlington, IA 52655-1691
Mailing address
1225 S Gear Ave
Suite 152
West Burlington, IA 52655-1691
Phone (319) 753-1220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0490573 | Medicaid | IA | |
| 36404 | Other | IA | STATE MEDICAL LICENSE NUM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnos-Techs, Inc. | Past | Accepting new patients | |
| Cancer Care Associates, P.C. | Past | Accepting new patients | |
| Great River Oncology, P.C. | Hematology & Oncology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Radiation Oncology Physician
- West Burlington, IA
- NPI 1588770077
-
- Hematology & Oncology Physician
- West Burlington, IA
- NPI 1649297326
-
- Clinical Medical Laboratory
- Kent, WA
- NPI 1356419485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1255357943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 S GEAR AVE",
"address_2": "SUITE 152",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551691",
"telephone_number": "319-753-1220",
"fax_number": "319-753-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 S GEAR AVE",
"address_2": "SUITE 152",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551691",
"telephone_number": "319-753-1220",
"fax_number": "319-753-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-KHOURY",
"first_name": "MAROUN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IA",
"license": "36404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0490573",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE NUM",
"identifier": "36404",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.