Active NPI
David W Khoury MD
- Cardiovascular Disease Physician
- Arlington, MA
National Provider Identifier
1891828646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 29080
- Legal business name
- DAVID W KHOURY MD
- Practice address
- 22 Mill St
Suite 207
Arlington, MA 02476-4784 - Phone
- (781) 646-0277
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Stewart
- Title
- Manager
- Phone
- (978) 658-5577
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 29080 | MA | Primary |
Addresses
Primary practice location
22 Mill St
Suite 207
Arlington, MA 02476-4784
Mailing address
22 Mill St
Suite 207
Arlington, MA 02476-4784
Phone (781) 646-0277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9724389 | Medicaid | MA | |
| M13534 | Other | MA | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891828646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MILL ST",
"address_2": "SUITE 207",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764784",
"telephone_number": "781-646-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MILL ST",
"address_2": "SUITE 207",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024764784",
"telephone_number": "781-646-0277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W KHOURY MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "978-658-5577"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "29080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9724389",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M13534",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.