Organization Active NPI

H. Michael Khoury, MD,LLC

Doing business as Rainbow Pediatrics

  • Pediatrics Physician
  • Bardstown, KY
National Provider Identifier
1629273040
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34774 Issued in KY
Legal business name
H. MICHAEL KHOURY, MD,LLC
Doing business as
Rainbow Pediatrics
Practice address
107 Manor Ave Ste 205
Bardstown, KY 40004-2800
Phone
(502) 349-6641
Fax
(502) 349-6642
NPI assigned
Jun 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Dr. Habib Michael Khoury, M.D
Title
President
Phone
(502) 349-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 34774 KY Primary

Addresses

Primary practice location

107 Manor Ave Ste 205
Bardstown, KY 40004-2800

Mailing address

PO Box 43534
Louisville, KY 40253-0534
Phone (502) 349-6641

Other names 1

  • Rainbow Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

107 Manor Ave
Ste 205
Bardstown, KY 40004
Phone (502) 349-6641

NPI Registry JSON

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1629273040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43534",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402530534",
            "telephone_number": "502-349-6641",
            "fax_number": "502-349-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MANOR AVE STE 205",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042800",
            "telephone_number": "502-349-6641",
            "fax_number": "502-349-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. MICHAEL KHOURY, MD,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-16",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "HABIB",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-349-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "34774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.