Kevin Paul Khoudary, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

9900568 Issued in NC

Practice address

110 Kildaire Park Dr Ste 500
Cary, NC 27518-8161

Phone

(919) 467-3203

NPI assigned

Mar 8, 2006

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Urology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Centers for Advanced Urology LLPGroup PAC ID 3274800941, 142 clinicians

DLP Central Carolina Medical Group LLCGroup PAC ID 3577840420, 38 clinicians

Associated Urologists of North Carolina PAGroup PAC ID 9537341268, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173
• Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
• Rex Hospital Hospital, Raleigh, NC, CCN 340114
• Sampson Regional Medical Center Hospital, Clinton, NC, CCN 340024
• Johnston Health Hospital, Smithfield, NC, CCN 340090

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.khoudary.1@15593.direct.athenahealth.com
• Direct secure messaging: kevin.khoudarymd.p1@direct.associatedurologists.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alliance Physician Services, PC

  dba Associated Urologists of North Carolina

  • Urology Physician
  • Raleigh, NC
  • NPI 1639963531
  Medicare reassignment Care Compare group NPD
• DLP Central Carolina Medical Group LLC

  dba Central Caroling Urology

  • Urology Physician
  • Sanford, NC
  • NPI 1184163883
  Medicare reassignment Care Compare group NPD
• Associated Urologists of North Carolina PA

  • Urology Physician
  • Raleigh, NC
  • NPI 1568767002
  Medicare reassignment Care Compare group
• Alliance Physician Services, PC

  dba Associated Urologists of North Carolina

  • Urology Physician
  • Wake Forest, NC
  • NPI 1316811888
  NPD
• DLP Central Carolina Medical Group LLC

  dba Central Carolina Sandhills Family Care

  • Rural Health Clinic/Center
  • Broadway, NC
  • NPI 1578254215
  NPD
• Alliance Physician Services, PC

  dba MidLantic Urology

  • Urology Physician
  • Paoli, PA
  • NPI 1952829350
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Central Carolina Medical Center LLC

  dba Central Carolina Hospital

  • General Acute Care Hospital
  • Sanford, NC
  • NPI 1902836943
  Care Compare affiliation
• Johnston Health Services Corporation

  dba Johnston Health

  • General Acute Care Hospital
  • Smithfield, NC
  • NPI 1619911104
  Care Compare affiliation
• Rex Hospital Inc.

  dba Rex Hospital

  • General Acute Care Hospital
  • Raleigh, NC
  • NPI 1497797088
  Care Compare affiliation
• Sampson Regional Medical Center

  • General Acute Care Hospital
  • Clinton, NC
  • NPI 1609857432
  Care Compare affiliation
• Wakemed

  dba Wakemed Cary Hospital

  • General Acute Care Hospital
  • Cary, NC
  • NPI 1114993086
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1811965825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SW CARY PKWY",
            "address_2": "SUITE 300",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115600",
            "telephone_number": "919-467-3203",
            "fax_number": "919-459-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KILDAIRE PARK DR STE 500",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188161",
            "telephone_number": "919-467-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 SW Cary Pkwy",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275115600",
            "country_code": "US",
            "telephone_number": "919-467-3203",
            "fax_number": "919-459-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOUDARY",
        "first_name": "KEVIN",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-08-18",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9900568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891204Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.

Verify at the official NPI Registry.