Individual provider Active NPI

Nagi Khouri, M.D.

  • Diagnostic Radiology Physician
  • Lutherville, MD
National Provider Identifier
1356398549
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D19570 Issued in MD
Practice address
10755 Falls Rd
Lutherville, MD 21093-4515
Phone
(410) 955-6500
NPI assigned
May 31, 2006
Last updated
May 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D19570 MD Primary

Addresses

Primary practice location

10755 Falls Rd
Lutherville, MD 21093-4515

Mailing address

PO Box 64358
Baltimore, MD 21264-4358
Phone (410) 955-7288

Other identifiers 1

IdentifierTypeStateIssuer
787351400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100618000596 MD Practitioner - Diagnostic Radiology 9335279256 Reassigns benefits to 1 organization
I20150210000440 DC Practitioner - Diagnostic Radiology 9335279256 Reassigns benefits to 1 organization
I20210505001167 NY Practitioner - Diagnostic Radiology 9335279256 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309575NYMDLicensed Practical Nurse
D19570MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Diagnostic Radiology CurrentSince Jul 1, 1997 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 1997 Accepting new patients
Johns Hopkins University CurrentSince Nov 8, 2014 Accepting new patients
Johns Hopkins University Current Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 Accepting new patients

Locations

5255 Loughboro Rd NW
Bldg 4TH
Washington, DC 20016
Phone (202) 243-2595

27443 Network Pl
Chicago, IL 60673

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

6420 Rockledge Dr
Bethesda, MD 20817
Phone (301) 896-6700

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

61 E 77th St
New York, NY 10075
Phone (212) 772-2130

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1356398549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64358",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644358",
            "telephone_number": "410-955-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 FALLS RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934515",
            "telephone_number": "410-955-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "NAGI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D19570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787351400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

Verify at the official NPI Registry.