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TATUM YVONNE KHOURI MD
NPI 1184247520
Pediatrics in Ann Arbor, MI

Active since May 20, 2020PECOS Enrolled
380 PARKLAND PLZ, ANN ARBOR, MI 48103(734) 539-5080 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2024, Aug 17, 2024, Aug 23, 2023 and 1 more (4 updates tracked since 2020).

About Tatum Yvonne Khouri Md NPPES

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

TATUM YVONNE KHOURI MD (NPI 1184247520) is an individual pediatrics provider in Ann Arbor, Michigan, licensed in Michigan (4301509179) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184247520
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTATUM YVONNE KHOURICredential: MD
Location Address380 PARKLAND PLZAnn Arbor, MI 48103-6201
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Phone(734) 539-5080
Sole ProprietorNo
Enumeration DateMay 20, 2020
Last NPPES UpdateAugust 19, 20244 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1184247520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301509179
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
380 PARKLAND PLZ, Ann Arbor, MI 48103
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Other Names 1

Former Name (1)Tatum Yvonne Zurawski Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatum Yvonne 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.

Medicare Billing Reassignment

Medicare enrollment records show Tatum Khouri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of Michigan
Same address
Allergy & Immunology
380 PARKLAND PLZ
Ann Arbor, MI 48103
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 clinicians in this Medicare group
NPI 1700816881 (734) 647-5940

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48103 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

REGENTS OF THE UNIVERSITY OF MICHIGAN
Eyewear Supplier
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-7380
KENDRA JEAN BAUER MD
Pediatrics
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 539-5080
MARK MULCAIRE-JONES MD
Internal Medicine
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-2020
MARGEAUX ANAHID NAUGHTON MD
Pediatrics
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-7370
REGENTS OF THE UNIVERSITY OF MICHIGAN
Hearing Aid Equipment
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-7380
OLESIA KELLEZI MD
Student in an Organized Health Care Education/Training Program
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-2020
FEYISETAN ADUNBI MSW
Social Worker (Clinical)
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (734) 998-7380
ADAM BARNETT STEIN MD
Internal Medicine (Cardiovascular Disease)
380 PARKLAND PLZ
ANN ARBOR, MI 48103
Washtenaw County (888) 287-1082

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 Tatum Khouri's NPI number?

The NPI number for Tatum Khouri is 1184247520. It was assigned to this individual provider in the NPPES registry on May 20, 2020. The provider is also known as Tatum Yvonne Zurawski MD.

Where is Tatum Khouri located?

Tatum Khouri practices at 380 Parkland Plz, Ann Arbor, MI 48103. The listed phone number is (734) 539-5080.

What is Tatum Khouri's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tatum Khouri enrolled in Medicare?

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

Which organization bills Medicare for Tatum Khouri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tatum Khouri reassigns Medicare benefits to Regents Of The University Of Michigan (Ann Arbor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tatum Khouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tatum Khouri accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Tatum Khouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tatum Khouri was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.