Individual provider Active NPI

Thomas Lutfallah Khoury, M.D.

  • Surgery Physician
  • Portsmouth, OH
National Provider Identifier
1306838719
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.065158 Issued in OH
Practice address
1711 27TH St
Braunlin BLDG, Suite 306
Portsmouth, OH 45662-2638
Phone
(740) 353-8661
Fax
(740) 354-3254
NPI assigned
Aug 22, 2005
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.065158 OH Primary
Surgery Physician 208600000X 2025-01256 NC
Vascular Surgery Physician 2086S0129X 35.065158 OH

Addresses

Primary practice location

1711 27TH St
Braunlin BLDG, Suite 306
Portsmouth, OH 45662-2638

Mailing address

1711 27TH St
Braunlin BLDG, Suite 306
Portsmouth, OH 45662-2638
Phone (740) 353-8661

Other identifiers 3

IdentifierTypeStateIssuer
64938434MedicaidKY
6493843400MedicaidKY
0968690MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 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
I20100318000370 OH Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 0941195945 Reassigns benefits to 1 organization
I20250911004614 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General Surgery 0941195945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

100 Robinhood Medical PLZ
Winston Salem, NC 27106-5476
Phone (336) 718-0800

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.44 of 100Reported as group
Quality
55.14
Improvement activities
40
Cost
78.34

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc Vascular Surgery CurrentSince Jul 25, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Scotland Memorial Hospital Inc Surgery CurrentSince Jul 1, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 25, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 25, 2025 Accepting new patients
Scotland Memorial Hospital Inc Vascular Surgery CurrentSince Jul 1, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 25, 2025 Accepting new patients
Southern Ohio Medical Center Past Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients
Harris Family Practice PLLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

205 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-4410

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

1901 S Hawthorne Rd
Ste 220
Winston Salem, NC 27103
Phone (336) 718-6777

250 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 718-1000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: khouryt@sosa.gwaydirect.com
  • Direct secure messaging: thomas.khoury@somc.medicity.net
  • Direct secure messaging: tkhoury1721329@direct.novanthealth.org
  • Direct secure messaging: tkhoury3010475@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 12

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 2

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1306838719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 27TH ST",
            "address_2": "BRAUNLIN BLDG, SUITE 306",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622638",
            "telephone_number": "740-353-8661",
            "fax_number": "740-354-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 27TH ST",
            "address_2": "BRAUNLIN BLDG, SUITE 306",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622638",
            "telephone_number": "740-353-8661",
            "fax_number": "740-354-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "THOMAS",
        "middle_name": "LUTFALLAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.065158",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2025-01256",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.065158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64938434",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6493843400",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0968690",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.