Individual provider Active NPI

Riadh A Fakhoury, DC

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1730119637
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004912 Issued in FL
Practice address
1009 SW 16TH LN
Ocala, FL 34471-1228
Phone
(352) 351-3413
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0004912 FL Primary

Addresses

Primary practice location

1009 SW 16TH LN
Ocala, FL 34471-1228

Mailing address

1009 SW 16TH LN
Ocala, FL 34471-1228
Phone (352) 351-3413

Other identifiers 1

IdentifierTypeStateIssuer
70600OtherFLBCBS FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091116000101 FL Practitioner - ChiropracticPractitioner - Interventional RadiologyPractitioner - Preventive MedicinePractitioner - Pain ManagementPractitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 2365337474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Interventional Radiology, Pain Management, Physical Medicine and Rehabilitation, Preventive Medicine
Education
Los Angeles College of Chiropractic, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fakhoury Medical and Chiropractic Center PLLCGroup PAC ID 8628116464, 7 clinicians

Practice addresses (Care Compare)

1009 SW 16TH Lane
Ocala, FL 34471-1229
Phone (352) 351-3413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0004912FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fakhoury Medical & Chiropractic Center PLLC Chiropractor CurrentSince Jun 25, 2009 Accepting new patients
Dr Riadh a Fakhoury DC PA Chiropractor Past Accepting new patients

Locations

1009 SW 17th St
Ocala, FL 34471
Phone (352) 351-3413

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1730119637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 SW 16TH LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711228",
            "telephone_number": "352-351-3413",
            "fax_number": "352-629-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 SW 16TH LN",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711228",
            "telephone_number": "352-351-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHOURY",
        "first_name": "RIADH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLORIDA",
            "identifier": "70600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.