Individual provider Active NPI

Fadi R Khoury, MD

  • Maternal & Fetal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1780692483
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
35074356 Issued in OH
Practice address
18099 Lorain Ave Ste 345
Cleveland, OH 44111-5610
Phone
(216) 476-7144
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 35074356 OH Primary

Addresses

Primary practice location

18099 Lorain Ave Ste 345
Cleveland, OH 44111-5610

Mailing address

2500 Metrohealth Dr
MHMC-OB/GYN
Cleveland, OH 44109-1900
Phone (216) 778-5341

Other identifiers 1

IdentifierTypeStateIssuer
2114821MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040803001156 OH Practitioner - Obstetrics/Gynecology 7113998261 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

17840 Bagley Rd
Middleburg Heights, OH 44130-3401
Phone (440) 531-6000

850 Columbia Rd
Suite 330
Westlake, OH 44145-7215
Phone (440) 835-3883

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35074356OHMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Partners Physician Group CurrentSince Sep 16, 2019 Accepting new patients
Partners Physician Group CurrentSince Sep 16, 2019 Accepting new patients
Akron General Medical Center Obstetrics & Gynecology CurrentSince Sep 16, 2019 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Dec 12, 2010 Accepting new patients
Akron General Medical Center Obstetrics & Gynecology CurrentSince Sep 16, 2019 Accepting new patients
Partners Physician Group Past Accepting new patients
University Primary Care Practices Inc Past Accepting new patients
Lakewood Hospital Association Past Accepting new patients
Lakewood Hospital Association Obstetrics & Gynecology Past Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

676 S Broadway St
Ste 203
Akron, OH 44311
Phone (330) 344-2020

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

18099 Lorain Ave
Ste 345
Cleveland, OH 44111
Phone (216) 476-7144

17840 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 234-8500

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

850 Columbia Rd
Ste 330
Westlake, OH 44145
Phone (440) 835-3883

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

721 E Milltown Rd
Wooster, OH 44691
Phone (330) 287-4500

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: fkhourymd74513@direct.ccf.org

Organizations & group practices 11

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1780692483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "address_2": "MHMC-OB/GYN",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18099 LORAIN AVE STE 345",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441115610",
            "telephone_number": "216-476-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "FADI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35074356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114821",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.