Individual provider Active NPI

Elizabeth Marie Khoury, PA-C

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1437433810
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0005367 Issued in CO
Practice address
12505 E. 16TH Ave
Aurora, CO 80045
Phone
(720) 848-0000
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4969 AZ
Medical Physician Assistant 363AM0700X PA.0005367 CO Primary

Addresses

Primary practice location

12505 E. 16TH Ave
Aurora, CO 80045

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111212000836 AZ Practitioner - Physician Assistant 3173798675 Reassigns benefits to 3 organizations
I20190220001791 CO Practitioner - Physician Assistant 3173798675 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4969AZMDPhysician Assistant
PA.0005367COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Colorado, PC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Yampa Valley Medical Center CurrentSince Jun 19, 2021 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince Dec 1, 2017 Accepting new patients
Scottsdale Emergency Associates, LTD. Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Jan 4, 2016 Accepting new patients
Yampa Valley Medical Center CurrentSince Jun 19, 2021 Accepting new patients
Yampa Valley Medical Center PastSince Aug 1, 2022 Accepting new patients
Yampa Valley Medical Center Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1300 N 12th St
Ste 301
Phoenix, AZ 85006
Phone (602) 239-6968

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste 100
Greeley, CO 80631

1100 Central Park Dr
Ste 1000
Steamboat Springs, CO 80487
Phone (970) 879-3738

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

Organizations & group practices 12

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": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1437433810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 E. 16TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "720-848-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4969",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.