Active NPI
Hani Alkhouri, MD
- Internal Medicine Physician
- Liverpool, NY
National Provider Identifier
1902865488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 211060
- Practice address
- 5100 W Taft Rd
Liverpool, NY 13088-3807 - Phone
- (315) 452-2829
- Fax
- (312) 452-2870
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
Internal Medicine
-
- Emergency Medicine Physician
- Cortland, NY
- NPI 1609816024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211060 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Cortland County, PLLC | Past | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Internal Medicine | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 211060 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5100 W Taft Rd
Liverpool, NY 13088-3807
Mailing address
5100 W Taft Rd
Liverpool, NY 13088-3807
Phone (315) 452-2828
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01880964 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2011.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1902865488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 W TAFT RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883807",
"telephone_number": "315-452-2828",
"fax_number": "315-452-2870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W TAFT RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883807",
"telephone_number": "315-452-2829",
"fax_number": "312-452-2870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKHOURI",
"first_name": "HANI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "211060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01880964",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.