Individual provider Active NPI

Nadia Khoury, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Southgate, MI
National Provider Identifier
1346446143
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
4301099933 Issued in MI
Practice address
15125 Northline Rd
Southgate, MI 48195-2409
Phone
(734) 282-3138
Fax
(734) 282-1969
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007015726 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 4301099933 MI Primary

Addresses

Primary practice location

15125 Northline Rd
Southgate, MI 48195-2409

Mailing address

15125 Northline Rd
Southgate, MI 48195-2409
Phone (734) 282-3138

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nkhoury60414@direct.hfhs.org
Direct Messaging Address nkhoury60414@direct.hfhs.org Henry Ford Wyandotte Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120720000520 MI Practitioner - Endocrinology 0749446649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Endocrinology PLCGroup PAC ID 8123284007, 2 clinicians

Practice addresses (Care Compare)

15125 Northline Rd
Southgate, MI 48195-2409
Phone (734) 282-3138

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.99 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007015726MOMDInternal Medicine Physician
4301099933MIMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: nkhoury60414@direct.hfhs.org

Organizations & group practices 1

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 8

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1346446143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952409",
            "telephone_number": "734-282-3138",
            "fax_number": "734-282-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952409",
            "telephone_number": "734-282-3138",
            "fax_number": "734-282-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "NADIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007015726",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "4301099933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkhoury60414@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "2333 Biddle Ave",
            "city": "Wyandotte",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481924668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkhoury60414@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Wyandotte Hospital",
            "address_1": "2333 Biddle St",
            "city": "Wyandotte",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481924668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.