Individual provider Active NPI

Sammy E Khoury, MD

  • Surgery Physician
  • Katy, TX
National Provider Identifier
1669459988
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M1827 Issued in TX
Practice address
23960 Katy Fwy
Suite 130
Katy, TX 77494-1339
Phone
(281) 347-0088
Fax
(281) 347-0101
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M1827 TX Primary

Addresses

Primary practice location

23960 Katy Fwy
Suite 130
Katy, TX 77494-1339

Mailing address

23960 Katy Fwy
Ste 130
Katy, TX 77494-0892
Phone (281) 347-0088

Other identifiers 1

IdentifierTypeStateIssuer
177202201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051005000542 TX Practitioner - General Surgery 4789619016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23960 Katy Fwy
Suite 130
Katy, TX 77494-0892
Phone (281) 347-0088

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SKS Surgical Group PA Surgery CurrentSince Sep 1, 2005 Accepting new patients
Amina Jabeen Ahmed MD PA Past Accepting new patients

Locations

707 S Fry Rd
Ste 495
Katy, TX 77450
Phone (281) 578-8390

23960 Katy Fwy
Ste 130
Katy, TX 77494
Phone (281) 347-0088

Organizations & group practices 2

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 2

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1669459988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23960 KATY FWY",
            "address_2": "STE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940892",
            "telephone_number": "281-347-0088",
            "fax_number": "281-347-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23960 KATY FWY",
            "address_2": "SUITE 130",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941339",
            "telephone_number": "281-347-0088",
            "fax_number": "281-347-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "SAMMY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M1827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177202201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.