Individual provider Active NPI

Elie Joseph Khouri, M.D

  • Hospitalist Physician
  • Cape Girardeau, MO
National Provider Identifier
1558324442
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME64138 Issued in FL
Practice address
1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone
(573) 331-6431
Fax
(573) 986-5984
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME64138 FL
Hospitalist Physician 208M00000X ME64138 FL Primary

Addresses

Primary practice location

1701 Lacey St
Cape Girardeau, MO 63701-5230

Mailing address

3392 Tabreeze CT
Ocoee, FL 34761-4600
Phone (407) 341-8970

Other identifiers 1

IdentifierTypeStateIssuer
002584800MedicaidFL

Other names 1

  • Dr. Elie Joseph Awad Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, SC, VA, NC, AL, IA, IN8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20080909000730 FL Practitioner - Internal Medicine 0547336968 Reassigns benefits to 2 organizations
I20130213000479 MO Practitioner - Internal Medicine 0547336968 Reassigns benefits to 1 organization
I20130815000019 SC Practitioner - Internal Medicine 0547336968 Reassigns benefits to 2 organizations
I20131023002219 VA Practitioner - Internal Medicine 0547336968 Reassigns benefits to 2 organizations
I20140519000647 NC Practitioner - Internal Medicine 0547336968 Reassigns benefits to 2 organizations
I20190613002049 AL Practitioner - Hospitalist 0547336968 Reassigns benefits to 1 organization
I20230307003075 IA Practitioner - Internal Medicine 0547336968 Reassigns benefits to 1 organization
I20231121002302 IN Practitioner - Internal Medicine 0547336968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Mountain Group Services, LLCGroup PAC ID 3678886256, 62 clinicians

Practice addresses (Care Compare)

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC Hospitalist CurrentSince Dec 11, 2012 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Sioux City Hospitalist Group, LLC Hospitalist CurrentSince Feb 22, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Feb 1, 2014 Accepting new patients
Oak Mountain Group Services, LLC CurrentSince Mar 29, 2019 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist CurrentSince Jan 15, 2021 Accepting new patients
Southeast Hospital Current Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Nov 12, 2016 Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Jan 2, 2019 Accepting new patients
Vidant Medical Group LLC CurrentSince Mar 17, 2014 Accepting new patients
Oak Mountain Group Services, LLC Hospitalist CurrentSince Mar 29, 2019 Accepting new patients
New Albany Hospitalist Group, LLC Hospitalist CurrentSince Nov 6, 2023 Accepting new patients
Pensacola Hospitalist Physicians, LLC Hospitalist Current Accepting new patients
Affinity Hospital LLC Past Accepting new patients
Floridian Emergency Specialists, LLC PastSince Jan 26, 2020 Accepting new patients

Locations

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

3100 E Fletcher Ave
#C
Tampa, FL 33613

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1558324442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3392 TABREEZE CT",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614600",
            "telephone_number": "407-341-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LACEY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637015230",
            "telephone_number": "573-331-6431",
            "fax_number": "573-986-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "ELIE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME64138",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME64138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002584800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIE",
            "last_name": "AWAD",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.