PETER KHOURY
NPI 1114866787
Student in an Organized Health Care Education/Training Program in Bloomsburg, PA

Q: What is Peter Khoury's NPI number?

The NPI number for Peter Khoury is 1114866787. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Q: What is Peter Khoury's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Khoury was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 27, 2026PECOS Enrolled

549 FAIR ST # 61-22, BLOOMSBURG, PA 17815(570) 416-1925(570) 387-2258 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peter Khoury NPPES

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

PETER KHOURY (NPI 1114866787) is an individual student in an organized health care education/training program in Bloomsburg, Pennsylvania and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114866787

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NamePETER KHOURY

Location Address549 FAIR ST # 61-22Bloomsburg, PA 17815-1419

Mailing Address549 Fair St # 61-22Bloomsburg, PA 17815-1419 · (570) 416-1925 · Fax (570) 387-2258

Phone(570) 416-1925

Fax(570) 387-2258

Sole ProprietorNo

Enumeration DateMarch 27, 2026

NPPES CertifiedMarch 27, 2026

✔ NPI 1114866787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

549 FAIR ST # 61-22, Bloomsburg, PA 17815

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Khoury 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 8

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

SARAH THAYNE KUJALA

Student in an Organized Health Care Education/Training Program