Haisam Al-Khouri, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

18417 Issued in OK

Practice address

2316 NW 23Rd St
Oklahoma City, OK 73107-2406

Phone

(405) 525-3330

Fax

(405) 525-3360

NPI assigned

May 28, 2006

Last updated

Mar 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Psychiatry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Al-K Inc

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1467513838
  Authorized official Same address or phone
• Haisam Al-Khouri MD LLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1770412462
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1558318030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-525-3330",
            "fax_number": "405-525-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 NW 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731072406",
            "telephone_number": "405-525-3330",
            "fax_number": "405-525-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHOURI",
        "first_name": "HAISAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "18417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100223830",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adonis S Al-Botros, MD
• Rawan Al-Gharabally
• Farah Al-Hjouj
• Taha Al-Juhaishi, M.D.
• Al-K Inc
• Zahra Taha Al-Nasrawi
• Ahmad Al-Taee, M.D.
• Khalid M Al-Zubi, DDS
• Fawad Alam-Siddiqui, DO
• Kayleigh Alameda, LPC CANDIDATE

• Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.

Verify at the official NPI Registry.