ADEL KHDOUR MD
NPI 1083806384
Family Medicine in Racine, WI

Active since August 10, 2007PECOS EnrolledAccepts Medicare Assignment
5333 DOUGLAS AVE, RACINE, WI 53402(262) 752-2100(262) 752-2122 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 16, 2023, Mar 15, 2021 (2 updates tracked since 2021).

About Adel Khdour Md NPPES

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

ADEL KHDOUR MD (NPI 1083806384) is an individual family medicine provider in Racine, Wisconsin, licensed in Wisconsin (81805) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center Kenosha, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1083806384
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameADEL KHDOURCredential: MD
Location Address5333 DOUGLAS AVERacine, WI 53402-2032
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Fax(262) 752-2122
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 10, 2007
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
NPI 1083806384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 81805 Licensed in IL · 036118811 Licensed in IN · 01064330A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5333 DOUGLAS AVE, Racine, WI 53402

Other Identifiers 4

Medicaid100251357WI
Other000000531548IN · Anthem Provider Number
Other000001014115IN · Anthem Pin - Urgent Care Under Tin 35-2030653
Medicaid200876650IN

Accepted Insurance

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

Adel Khdour Md 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 ID7113013178
PECOS Enrollment IDI20230907001893
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53402 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers65 claims155 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers25 claims32 services$1.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$43.75 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims26 services$43.36 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers14 claims78 services$21.01 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers23 claims23 services$68.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Durable Medical Equipment & Medical Supplies
5333 DOUGLAS AVE
RACINE, WI 53402
Family Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Internal Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Ophthalmology
5333 DOUGLAS AVE
RACINE, WI 53402
Internal Medicine
5333 DOUGLAS AVE
RACINE, WI 53402
Optometrist
5333 DOUGLAS AVE
CALEDONIA, WI 53402
Eyewear Supplier
5333 DOUGLAS AVE
RACINE, WI 53402
Physician Assistant
5333 DOUGLAS AVE
CALEDONIA, WI 53402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083806384, enumerated as an "individual" on August 10, 2007.

The provider is located at 5333 DOUGLAS AVE RACINE, WI 53402 and the phone number is (262) 752-2100.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Adel Khdour is affiliated with: AURORA MEDICAL CENTER KENOSHA.