Individual provider Active NPI

Andre Khoury-Yacoub, MD

  • Diagnostic Radiology Physician
  • White Plains, NY
National Provider Identifier
1386640498
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
180234 1 Issued in NY
Practice address
Davis Ave at E Post Rd
White Plains, NY 10601-4615
Phone
(914) 681-1260
Fax
(914) 681-2906
NPI assigned
Jun 23, 2005
Last updated
Sep 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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 180234 1 NY Primary

Addresses

Primary practice location

Davis Ave at E Post Rd
White Plains, NY 10601-4615

Mailing address

244 Westchester Ave
Ste 103
White Plains, NY 10604-2900
Phone (800) 501-6388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080822000455 NY Practitioner - Diagnostic Radiology 1355416546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Post Road Medical Services PCGroup PAC ID 6406198506, 419 clinicians

Practice addresses (Care Compare)

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

600 Mamaroneck Ave
Harrison, NY 10528-1635
Phone (914) 723-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180234 1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Aug 6, 2021 Accepting new patients
White Plains Hospital Medical Center Current Accepting new patients
East Post Road Medical Services PC Diagnostic Radiology CurrentSince Mar 18, 2021 Accepting new patients
White Plains Hospital Medical Center Diagnostic Radiology CurrentSince Apr 1, 2015 Accepting new patients
White Plains Hospital Medical Center CurrentSince Apr 1, 2015 Accepting new patients
Boston Childrens Health Physicians LLP Past Accepting new patients

Locations

600 Mamaroneck Ave
Harrison, NY 10528
Phone (914) 628-6966

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

122 Maple Ave
White Plains, NY 10601
Phone (914) 285-9490

222 Westchester Ave
White Plains, NY 10604
Phone (914) 428-6700

244 Westchester Ave
Ste 103
White Plains, NY 10604
Phone (914) 681-0900

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1386640498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 WESTCHESTER AVE",
            "address_2": "STE 103",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042900",
            "telephone_number": "800-501-6388",
            "fax_number": "914-872-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DAVIS AVE AT E POST RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014615",
            "telephone_number": "914-681-1260",
            "fax_number": "914-681-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY-YACOUB",
        "first_name": "ANDRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "180234 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.