Andre Khoury, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9105565 Issued in FL

Practice address

2261 Valley Falls Way
Henderson, NV 89052-7165

Phone

(510) 847-4224

NPI assigned

Nov 1, 2010

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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

QC Combs 2 LLCGroup PAC ID 9133666597, 5 clinicians

Glendale Medical Partners LLCGroup PAC ID 0446752968, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Glendale Medical Partners LLC

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1225593270
  Medicare reassignment Care Compare group
• QC Combs 2, LLC

  • Rehabilitation Chiropractor
  • Queen Creek, AZ
  • NPI 1497536841
  Medicare reassignment Care Compare group
• Scottsdale Medical Partners LLC

  • Physical Medicine & Rehabilitation Physician
  • Scottsdale, AZ
  • NPI 1144785197

  Physician Assistant

  Medicare reassignment NPD
• Desert Ridge Medical Group

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1386133080
  Medicare reassignment
• Kai Health & Wellness, LLC

  • Sports Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1881117273
  Medicare reassignment
• Post-Acute Physicians of Arizona PLLC

  • Physical Medicine & Rehabilitation Physician
  • Surprise, AZ
  • NPI 1205267119
  Medicare reassignment
• Prasada Health Center LLC

  • General Practice Physician
  • Surprise, AZ
  • NPI 1508532458
  Medicare reassignment
• Tempe Angic, LLC

  • Physical Medicine & Rehabilitation Physician
  • Tempe, AZ
  • NPI 1851973739
  Medicare reassignment

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1972803336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 VALLEY FALLS WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890527165",
            "telephone_number": "510-847-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 VALLEY FALLS WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890527165",
            "telephone_number": "510-847-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURY",
        "first_name": "ANDRE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubna Khan, MD
• Renee M Khan, LMFT, LADC
• Michael Basil Kharoufeh, DDS
• Khoi Ha PLLC
• Christopher Khorsandi, MD
• Doreen Joy Kibby, PA-C
• Kid'S Fort Developmental Center LLC
• Kideology LTD
• Kidney and Hypertension Associates of Nevada PLLC
• Thomas Philip Kierl III, DDS

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.