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DR. JAD S ELKHOURY DDS, MS
NPI 1023109428
Dentist - Periodontics in Sonoma, CA

Active since September 28, 2006Opted out of Medicare · through Sep 29, 2026
248 PERKINS ST, SONOMA, CA 95476(707) 938-2155(707) 935-2142 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jad S Elkhoury Dds, Ms NPPES

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

DR. JAD S ELKHOURY DDS, MS (NPI 1023109428) is an individual periodontics provider in Sonoma, California, licensed in California (52382) and active in the NPI registry since September 2006. He has opted out of Medicare through September 29, 2026.

NPPES Registry Identity

NPI1023109428
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JAD S ELKHOURYCredential: DDS, MS
Location Address248 PERKINS STSonoma, CA 95476
Mailing Address248 Perkins StSonoma, CA 95476 · (707) 938-2155 · Fax (707) 935-2142
Phone(707) 938-2155
Fax(707) 935-2142
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023109428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 52382
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
248 PERKINS ST, Sonoma, CA 95476
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jad S Elkhoury Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 29, 2022 through September 29, 2026.

Opt-Out Effective DateSeptember 29, 2022
Opt-Out In Effect ThroughSeptember 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. LYNNE W HSIA DDS
Dentist (Pediatric Dentistry)
248 PERKINS ST
SONOMA, CA 95476
Sonoma County (707) 938-7660

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 Jad Elkhoury's NPI number?

The NPI number for Jad Elkhoury is 1023109428. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Jad Elkhoury located?

Jad Elkhoury practices at 248 Perkins St, Sonoma, CA 95476. The listed phone number is (707) 938-2155.

What is Jad Elkhoury's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jad Elkhoury enrolled in Medicare?

No. Jad Elkhoury has opted out of Medicare through September 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jad Elkhoury was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.