NPIMap

Individual provider Active NPI

Sami M Khouri, MD

  • Internal Medicine Physician
  • Folsom, CA
National Provider Identifier
1295779197
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A60690 Issued in CA
Practice address
1580 Creekside Dr
Ste 260
Folsom, CA 95630
Phone
(916) 984-7870
Fax
(916) 984-7871
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A60690 CA Primary

Addresses

Primary practice location

1580 Creekside Dr
Ste 260
Folsom, CA 95630

Mailing address

1580 Creekside Dr
Ste 260
Folsom, CA 95630
Phone (916) 984-7870

Other identifiers 1

IdentifierTypeStateIssuer
00A606900MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040313000590 CA Practitioner - Internal Medicine 3173412434 Reassigns benefits to 1 organization
Practice locations: Folsom, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, shared by 7 NPIs, 168 clinicians

Practice addresses (Care Compare)

1580 Creekside Dr
Suite 260
Folsom, CA 95630-3889
Phone (916) 984-7870

4201 Town Ctr Blvd
BLDG D
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

Hospital & facility affiliations

  • American River Home Care Home health agency, Sacramento, CA, CCN 059665
  • Healing Touch Home Health Care Inc Home health agency, Rancho Cordova, CA, CCN 553195
  • Mercy Home Health Home health agency, Rancho Cordova, CA, CCN 057631
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Merit-based Incentive Payment System (MIPS)

Final score
84.73 of 100Reported as group
Quality
84.74
Promoting interoperability
85
Improvement activities
40
Cost
76.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sam M. Khouri, MD, a Professional Medical Corporation Internal Medicine CurrentSince Aug 11, 2020 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Locations

1580 Creekside Dr
Ste 260
Folsom, CA 95630
Phone (916) 984-7870

Interoperability endpoints

  • Direct secure messaging: skhourimd5829@hpmg.direct-ci.net

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.

Hospital & facility affiliations 7

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1295779197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DR",
            "address_2": "STE 260",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-984-7870",
            "fax_number": "916-984-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 CREEKSIDE DR",
            "address_2": "STE 260",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "95630",
            "telephone_number": "916-984-7870",
            "fax_number": "916-984-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "SAMI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A606900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.