Active NPI
Mitri Khaled Khoury, M.D.
- Vascular Surgery Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 72311
- Practice address
- 7351 E Osborn Rd Ste 100
Scottsdale, AZ 85251-6451 - Phone
- (480) 882-7465
- NPI assigned
- Apr 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 72311 | AZ | Primary |
Addresses
Primary practice location
7351 E Osborn Rd Ste 100
Scottsdale, AZ 85251-6451
Mailing address
19636 N 27TH Ave Ste 306
Phoenix, AZ 85027-4019
Other practice location 1
20745 N Scottsdale Rd
Scottsdale, AZ 85255-6594
Phone (480) 882-7465
Other practice location 2
19636 N 27th Ave Ste 306
Phoenix, AZ 85027-4019
Phone (480) 882-7465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10510 N 92ND St
Scottsdale, AZ 85258-4566
1124 E McKellips Rd
Mesa, AZ 85203-2766
1301 S Crimson Rd
Mesa, AZ 85209-3767
Phone (480) 358-6100
19636 N 27TH Ave
Phoenix, AZ 85027-4021
19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400
19636 N 27TH Ave
Suite 306
Phoenix, AZ 85027-4019
Phone (623) 300-9100
20745 N Scottsdale Rd
Scottsdale, AZ 85255-6595
250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381
6220 W Bell Rd
Glendale, AZ 85308-3896
7351 E Osborn Rd
Scottsdale, AZ 85251-6451
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700
7400 E Thompson Peak Pkwy
Scottsdale, AZ 85255-4109
Phone (480) 324-7000
9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone (480) 323-3000
9250 N 3Rd St
Suite 2000
Phoenix, AZ 85020-2403
Phone (602) 861-1168
Hospital & facility affiliations
- Honorhealth Scottsdale Shea Medical Center
- Honorhealth Scottsdale Osborn Medical Center
- Honorhealth Scottsdale Thompson Peak Med Ctr
- Honorhealth Four Peaks Medical Center
- Honor Health John C. Lincoln Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 17 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 15 |
| Removal of tissue | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Healthcare Corp | Family Medicine | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Vascular Surgery | Past | Accepting new patients |
Locations
19636 N 27th Ave
Ste 306
Phoenix, AZ 85027
Phone (480) 882-7465
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
7351 E Osborn Rd
Ste 100
Scottsdale, AZ 85251
Phone (480) 882-7300
20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
Interoperability endpoints
- mkhoury46079@direct.phhs.org
- mkhoury584849@direct.honorhealth.com
Organizations & group practices 4
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.
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1992044713
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Vascular Surgery
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1417152745
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1427875061
-
- General Acute Care Hospital
- Florence, AZ
- NPI 1497572036
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1861219404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1477948446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19636 N 27TH AVE STE 306",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7351 E OSBORN RD STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516451",
"telephone_number": "480-882-7465"
}
],
"practiceLocations": [
{
"address_1": "20745 N Scottsdale Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852556594",
"country_code": "US",
"telephone_number": "480-882-7465",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19636 N 27th Ave Ste 306",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850274019",
"country_code": "US",
"telephone_number": "480-882-7465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHOURY",
"first_name": "MITRI",
"middle_name": "KHALED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "AZ",
"license": "72311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.