Organization Active NPI

Samir Khouri, MD PC

  • Pulmonary Disease Physician
  • Vienna, VA
National Provider Identifier
1992725717
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101226370 Issued in VA
Legal business name
SAMIR KHOURI, MD PC
Practice address
305 Maple Ave W Ste B
Vienna, VA 22180-4306
Phone
(703) 823-5400
Fax
(703) 998-4858
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Samir Khouri, MDNPI 1306820568
Title
President
Phone
(703) 725-3878

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 0101226370 VA Primary

Addresses

Primary practice location

305 Maple Ave W Ste B
Vienna, VA 22180-4306

Mailing address

305 Maple Ave W Ste B
Vienna, VA 22180-4306
Phone (703) 823-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051118000284 DC Part B Supplier - Clinic/Group Practice 6204855265 Receives reassigned benefits from 3 practitioners
Practice locations: Vienna, VA
O20180514001474 VA Part B Supplier - Clinic/Group Practice 6204855265 Receives reassigned benefits from 3 practitioners
Practice locations: Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

2106 Gallows Rd
#C
Vienna, VA 22182

305 Maple Ave W
Ste B
Vienna, VA 22180
Phone (703) 725-3878

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1992725717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAPLE AVE W STE B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804306",
            "telephone_number": "703-823-5400",
            "fax_number": "703-998-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAPLE AVE W STE B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804306",
            "telephone_number": "703-823-5400",
            "fax_number": "703-998-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR KHOURI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "KHOURI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-725-3878",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101226370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.