GRACE NIMAT KHOURI MD
NPI 1063489151
General Practice in Mankato, MN

Active since March 07, 2006PECOS Enrolled
1230 E. MAIN STREET, MANKATO CLINIC, LTD, MANKATO, MN 56002(507) 625-1811(952) 843-4301 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Nimat Khouri Md NPPES

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

GRACE NIMAT KHOURI MD (NPI 1063489151) is an individual general practice provider in Mankato, Minnesota, licensed in Minnesota (30851) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063489151
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameGRACE NIMAT KHOURICredential: MD
Location Address1230 E. MAIN STREET, MANKATO CLINIC, LTDMankato, MN 56002-8674
Mailing AddressPo Box 8674 1230 E. Main Street, Mankato Clinic LtdMankato, MN 56002-8674 · (507) 625-1811 · Fax (952) 483-4301
Fax(952) 843-4301
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateSeptember 20, 2012
NPI 1063489151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MN · 30851
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 30851 (MN)
1230 E. MAIN STREET, Mankato, MN 56002

Other Names 1

Former Name (1)Nimat Rachid Khuri Md

Other Identifiers 3

Medicare UPINE55160
Medicaid836385400MN
Medicare ID-Type Unspecified930001482

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grace Nimat Khouri Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

Family Medicine
1230 E. MAIN STREET, MANKATO CLINIC @ MAIN STREET
MANKATO, MN 56002
Nurse Practitioner (Family)
1230 E. MAIN STREET, MANKATO CLINIC @ MAIN STREET
MANKATO, MN 56002
Obstetrics & Gynecology
1230 E. MAIN STREET, MANKATO CLINIC AT MAIN STREET
MANKATO, MN 56002
Family Medicine
1230 E. MAIN STREET, MANKATO CLINIC @ MAIN STREET
MANKATO, MN 56002
Psychiatry & Neurology (Neurology)
1230 E. MAIN STREET, MANKATO CLINIC @ MAINT STREET
MANKATO, MN 56002

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 Grace Khouri's NPI number?

The NPI number for Grace Khouri is 1063489151. It was assigned to this individual provider in the NPPES registry on March 7, 2006. The provider is also known as Nimat Rachid Khuri MD.

Where is Grace Khouri located?

Grace Khouri practices at 1230 E. Main Street Mankato Clinic, Ltd, Mankato, MN 56002. The listed phone number is (507) 625-1811.

What is Grace Khouri's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Grace Khouri enrolled in Medicare?

Yes. Grace Khouri is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Khouri was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.