JESSICA KHOURY MD
NPI 1265042733
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Charles, MD

Active since August 08, 2020PECOS EnrolledAccepts Medicare Assignment
12070 OLD LINE CTR, SAINT CHARLES, MD 20602(301) 870-4100 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Jul 20, 2023, Aug 8, 2020 (3 updates tracked since 2020).

About Jessica Khoury Md NPPES

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

JESSICA KHOURY MD (NPI 1265042733) is an individual endocrinology, diabetes & metabolism provider in Saint Charles, Maryland, licensed in Maryland (D0102085) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Md Charles Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265042733
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameJESSICA KHOURYCredential: MD
Location Address12070 OLD LINE CTRSaint Charles, MD 20602-2513
Mailing Address2300 M St Nw Fl 6Washington, DC 20037-1434
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 8, 2020
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
NPI 1265042733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in MD · D0102085
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP05080 (RI), MD210011510 (DC)
12070 OLD LINE CTR, Saint Charles, MD 20602

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

Jessica Khoury 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 ID6204247604
PECOS Enrollment IDI20250912003136
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.

Hospital Affiliations CMS Care Compare

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

University Of MD Charles Regional Medical Center

Acute Care Hospitals · La Plata, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20602 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims12 services$2.61 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 20

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

Specialist
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Physician Assistant (Medical)
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 202
WALDORF, MD 20602

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 Jessica Khoury's NPI number?

The NPI number for Jessica Khoury is 1265042733. It was assigned to this individual provider in the NPPES registry on August 8, 2020.

Where is Jessica Khoury located?

Jessica Khoury practices at 12070 Old Line Ctr, Saint Charles, MD 20602. The listed phone number is (301) 870-4100.

What is Jessica Khoury's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Jessica Khoury enrolled in Medicare?

Yes. Jessica Khoury is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jessica Khoury affiliated with any hospitals?

According to CMS data, Jessica Khoury is affiliated with University Of MD Charles Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Khoury was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.