NPIMap

Organization Active NPI

Yousef F. Khouri, MD, PC

  • Pediatrics Physician
  • Decatur, AL
National Provider Identifier
1861689168
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17772 Issued in AL
Legal business name
YOUSEF F. KHOURI, MD, PC
Practice address
1304 13TH Ave SE
Suite P
Decatur, AL 35601
Phone
(256) 355-1843
Fax
(256) 340-2553
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
Dr. Yousef F Khouri, MDNPI 1376596296
Title
Owner
Phone
(256) 355-1843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 17772 AL Primary

Addresses

Primary practice location

1304 13TH Ave SE
Suite P
Decatur, AL 35601

Mailing address

1304 13TH Ave SE
Suite P
Decatur, AL 35601
Phone (256) 355-1843

Other identifiers 1

IdentifierTypeStateIssuer
529914530MedicaidAL

National Provider Directory

National Provider Directory

Locations

1304 13th Ave SE
Ste P
Decatur, AL 35601
Phone (256) 355-1843

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1861689168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "address_2": "SUITE P",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-355-1843",
            "fax_number": "256-340-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "address_2": "SUITE P",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "35601",
            "telephone_number": "256-355-1843",
            "fax_number": "256-340-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUSEF F. KHOURI, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "KHOURI",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-355-1843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "17772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529914530",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.