DR. GHASSAN HANI NICOLA KHOURY M.D.
NPI 1003153214
Internal Medicine in Los Angeles, CA

Active since January 08, 2013PECOS EnrolledAccepts Medicare Assignment
200 MED PLAZA, SUITE 365, 420, 120, LOS ANGELES, CA 90024(310) 794-1276 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2018, Sep 21, 2016 (2 updates tracked since 2016).

About Dr. Ghassan Hani Nicola Khoury M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GHASSAN HANI NICOLA KHOURY M.D. (NPI 1003153214) is an individual internal medicine provider in Los Angeles, California, licensed in California (A152785) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Amarillo, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1003153214
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GHASSAN HANI NICOLA KHOURYCredential: M.D.
Location Address200 MED PLAZA, SUITE 365, 420, 120Los Angeles, CA 90024
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 8, 2013
Last NPPES UpdateJune 22, 20182 updates tracked since enumeration
NPI 1003153214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · A152785 Licensed in TX · Q6858
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 MED PLAZA, Los Angeles, CA 90024

Secondary Practice Location 1

Location 1850 Martin RdAmarillo, TX 79107-6814 · Phone (806) 374-7341 · Fax (806) 322-2485

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ghassan Hani Nicola Khoury M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274831649
PECOS Enrollment IDI20180507002064
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Internal Medicine (Hematology & Oncology)
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Hospitalist
200 MED PLAZA, 365,420,120
LOS ANGELES, CA 90024
Internal Medicine (Nephrology)
200 MED PLAZA, 365,420,120
LOS ANGLES, CA 90024
Nurse Practitioner
200 MED PLAZA, 365,420,120
LOS ANGLES, CA 90024
Dermatology
200 MED PLAZA, #365, 420, 120
LOS ANGELES, CA 90024
Internal Medicine (Hospice and Palliative Medicine)
200 MED PLAZA, #365, 420, 120
LOS ANGELES, CA 90024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ghassan Khoury's NPI number?

The NPI number for Ghassan Khoury is 1003153214. It was assigned to this individual provider in the NPPES registry on January 8, 2013.

Where is Ghassan Khoury located?

Ghassan Khoury practices at 200 Med Plaza Suite 365, 420, 120, Los Angeles, CA 90024. The listed phone number is (310) 794-1276.

What is Ghassan Khoury's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ghassan Khoury enrolled in Medicare?

Yes. Ghassan Khoury is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ghassan Khoury was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.