Individual provider Active NPI

Mitri Khaled Khoury, M.D.

  • Vascular Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1477948446
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
72311 Issued in AZ
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

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001107 AZ Practitioner - Vascular Surgery 0042754319 Reassigns benefits to 1 organization

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
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

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 Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Osborn Medical Center Hospital, Scottsdale, AZ, CCN 030038
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion17
Varicose vein removal1-10
Leg revascularization (restoring blood flow)15
Removal of tissue21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corp Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 1, 2024 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

  • Direct secure messaging: mkhoury46079@direct.phhs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.