Individual provider Active NPI

Elias Fouad Abou Kheir Abou Kheir, SA-C

  • Surgical Assistant
  • Miami, FL
National Provider Identifier
1316725849
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
23-608 Issued in FL
Practice address
15006 SW 104TH St Apt 2510
Miami, FL 33196-3264
Phone
(786) 695-8090
NPI assigned
Sep 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 23-608 FL Primary

Addresses

Primary practice location

15006 SW 104TH St Apt 2510
Miami, FL 33196-3264

Mailing address

15006 SW 104TH St Apt 2510
Miami, FL 33196-3264
Phone (786) 695-8090

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23-608FLMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1316725849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15006 SW 104TH ST APT 2510",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963264",
            "telephone_number": "786-695-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15006 SW 104TH ST APT 2510",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331963264",
            "telephone_number": "786-695-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOU KHEIR ABOU KHEIR",
        "first_name": "ELIAS",
        "middle_name": "FOUAD",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "23-608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.