Individual provider Active NPI

Salim Albert Khoury, M.D.

  • Nephrology Physician
  • Flushing, NY
National Provider Identifier
1811963002
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
144891 Issued in NY
Practice address
2932 172ND St
Flushing, NY 11358-1538
Phone
(718) 961-1863
Fax
(718) 886-4170
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 144891 NY Primary

Addresses

Primary practice location

2932 172ND St
Flushing, NY 11358-1538

Mailing address

2932 172ND St
Flushing, NY 11358-1538
Phone (718) 961-1863

Other identifiers 1

IdentifierTypeStateIssuer
00963171MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000091 NY Practitioner - Internal MedicinePractitioner - Nephrology 8022299668 Reassigns benefits to 1 organization
Practice locations: Flushing, NY; Whitestone, NY; Manhasset, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

164 -11 Chapin Pkwy
Jamaica, NY 11432-1816
Phone (718) 298-7800

2932 172ND St
Flushing, NY 11358-1538
Phone (718) 961-1863

36 -17 Parsons Blvd
Flushing, NY 11354-5931
Phone (718) 888-5230

Hospital & facility affiliations

  • Queens Dialysis at the Pavilion, LLC Dialysis facility, Flushing, NY, CCN 332659
  • Rogosin Auburndale Dialysis Dialysis facility, Flushing, NY, CCN 332680
  • Cassena Care at Home Home health agency, Brooklyn, NY, CCN 337441
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Hospice of New York, LLC Hospice, Long Island City, NY, CCN 331560
  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193
  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106
  • Margaret Tietz Center for Nursing Care Inc Nursing home, Jamaica, NY, CCN 335336

Merit-based Incentive Payment System (MIPS)

Final score
91.68 of 100Reported as group
Quality
88.38
Promoting interoperability
78
Improvement activities
40
Cost
68.89

Merit-based Incentive Payment System (MIPS)

Final score
70.98 of 100Reported as individual
Quality
20
Improvement activities
40
Cost
76.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital Medical Center CurrentSince Apr 21, 2020 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Apr 21, 2020 Accepting new patients
Regional Physician Services, PC Nephrology PastSince Mar 10, 2009 Accepting new patients
Chapin Acquisition I LLC Past Accepting new patients
Nephrology Associates,P.C. Nephrology Past Accepting new patients
Nephrology Associates, P.C. Nephrology Past Accepting new patients

Locations

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
  • Direct secure messaging: sak9086@direct.nyp.org

Organizations & group practices 6

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 12

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1811963002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 172ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581538",
            "telephone_number": "718-961-1863",
            "fax_number": "718-886-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 172ND ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581538",
            "telephone_number": "718-961-1863",
            "fax_number": "718-886-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "SALIM",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "144891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00963171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.