Active NPI
Summer Maher El-Khodary, PA-C
- Physician Assistant
- Newburgh, IN
National Provider Identifier
1417606468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10004260A
- Practice address
- 10455 Orthopaedic Dr
Newburgh, IN 47630-7955 - Phone
- (812) 424-9291
- Fax
- (812) 421-2722
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3598 | KY | |
| Physician Assistant | 363A00000X | 10004260A | IN | Primary |
Addresses
Primary practice location
10455 Orthopaedic Dr
Newburgh, IN 47630-7955
Mailing address
221 Lant LN
Evansville, IN 47715-3477
Phone (812) 598-9668
Other practice location 1
5828 Pearl Dr
Evansville, IN 47712-8116
Phone (812) 424-9291
Other practice location 2
515 Read St
Evansville, IN 47710-1739
Phone (812) 424-9291
Other practice location 3
340 Starlite Dr
Henderson, KY 42420-6102
Phone (812) 424-9291
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10004260A | IN | MD | Physician Assistant |
| PA3598 | KY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1417606468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 LANT LN",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477153477",
"telephone_number": "812-598-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10455 ORTHOPAEDIC DR",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476307955",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722"
}
],
"practiceLocations": [
{
"address_1": "5828 Pearl Dr",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477128116",
"country_code": "US",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 Read St",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477101739",
"country_code": "US",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "340 Starlite Dr",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "KY",
"postal_code": "424206102",
"country_code": "US",
"telephone_number": "812-424-9291",
"fax_number": "812-421-2722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EL-KHODARY",
"first_name": "SUMMER",
"middle_name": "MAHER",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA3598",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10004260A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.