Individual provider Active NPI

Samir Khouri, M.D

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1306820568
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101226370 Issued in VA
Practice address
305 Maple Ave W Ste B
Vienna, VA 22180-4306
Phone
(703) 725-3878
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 0101226370 VA Primary

Addresses

Primary practice location

305 Maple Ave W Ste B
Vienna, VA 22180-4306

Mailing address

305 Maple Ave W Ste B
Vienna, VA 22180-4306
Phone (703) 725-3878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040501000250 DC Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 7416945399 Reassigns benefits to 1 organization
I20180514001525 VA Practitioner - Internal Medicine 7416945399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 964-8199

305 Maple Ave W
Suite B
Vienna, VA 22180-4306
Phone (703) 964-8199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
87.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101226370VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Samir Khouri, MD PC CurrentSince Mar 15, 2004 Accepting new patients
Inova Health Care Services Internal Medicine Current Accepting new patients
Juburi Medical Center LLC Internal Medicine PastSince Feb 1, 2019 Accepting new patients
Alfred C Myaing MD PA Past Accepting new patients

Locations

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

4660 Kenmore Ave
Ste 200
Alexandria, VA 22304
Phone (336) 624-7164

2863 Duke St
Alexandria, VA 22314
Phone (703) 801-7745

6355 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 797-6980

2740 Prosperity Ave
Ste 200
Fairfax, VA 22031
Phone (703) 208-2273

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

305 Maple Ave W
Ste B
Vienna, VA 22180
Phone (703) 725-3878

2106 Gallows Rd
#C
Vienna, VA 22182

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Organizations & group practices 6

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 6

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1306820568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAPLE AVE W STE B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804306",
            "telephone_number": "703-725-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAPLE AVE W STE B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804306",
            "telephone_number": "703-725-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101226370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.