Active NPI
Roger Karl Khouri Jr., MD
- Urology Physician
- Hauppauge, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35.145326
- Practice address
- 200 Motor Pkwy Ste D22
Hauppauge, NY 11788-5116 - Phone
- (786) 473-5354
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Urology Physician | 208800000X | 35.145326 | OH | Primary |
Addresses
Primary practice location
200 Motor Pkwy Ste D22
Hauppauge, NY 11788-5116
Mailing address
74 Lent Dr
Plainview, NY 11803-6444
Phone (786) 473-5354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Michigan Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 Motor Pkwy
Suite D 22
Hauppauge, NY 11788-5116
Phone (631) 435-4322
Hospital & facility affiliations
- NS/Lij HS Southside Hospital
- Plainview Hospital
- Long Island Jewish Medical Center
- North Shore University Hospital
- Peconic Bay Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322893 | NY | MD | Licensed Practical Nurse |
| 35.145326 | OH | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Urology | Current | Accepting new patients |
| South Shore University Hospital | Past | Accepting new patients | |
| Long Island Jewish Medical Center | Past | Accepting new patients |
Locations
301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977
32 E Main St
Bay Shore, NY 11706
Phone (631) 470-1450
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
200 Motor Pkwy
Hauppauge, NY 11788
Phone (631) 234-5666
200 Motor Pkwy
Ste D22
Hauppauge, NY 11788
Phone (631) 273-1258
1895 Walt Whitman Rd
Melville, NY 11747
Phone (631) 249-9525
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
1267 E Main St
Ste A
Riverhead, NY 11901
Phone (631) 259-3290
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- rkhouri72220@direct.phhs.org
- rkhouri69182@northwell.direct-ci.com
Organizations & group practices 4
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Children's Hospital
- New Hyde Park, NY
- NPI 1174530349
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverhead, NY
- NPI 1386649804
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Plainview, NY
- NPI 1083621130
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1770014607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 LENT DR",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118036444",
"telephone_number": "786-473-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MOTOR PKWY STE D22",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117885116",
"telephone_number": "786-473-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOURI",
"first_name": "ROGER",
"middle_name": "KARL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.145326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.