ANTOINE E KHOURY MD
NPI 1275704611
Urology - Pediatric Urology in Orange, CA

Q: What is Antoine Khoury's NPI number?

The NPI number for Antoine Khoury is 1275704611. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Q: What is Antoine Khoury's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Q: When was this NPI record last updated?

The NPPES record for Antoine Khoury was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 13, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

505 S MAIN ST STE 100, ORANGE, CA 92868(714) 509-3919(714) 509-3917 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Antoine E Khoury Md NPPES

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

ANTOINE E KHOURY MD (NPI 1275704611) is an individual pediatric urology provider in Orange, California, licensed in California (C53187) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1275704611

Entity TypeIndividualMale

Primary Taxonomy2088P0231X

Provider Legal NameANTOINE E KHOURYCredential: MD

Location Address505 S MAIN ST STE 100Orange, CA 92868-4568

Mailing AddressPo Box 51342Los Angeles, CA 90051-5642 · (714) 509-3910 · Fax (714) 509-3917

Phone(714) 509-3919

Fax(714) 509-3917

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateMarch 13, 2008

Last NPPES UpdateApril 29, 2014

✔ NPI 1275704611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in CA · C53187

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

505 S MAIN ST STE 100, Orange, CA 92868

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Other Identifiers 2

OtherW14887CA · Medicare Group

OtherGR0085140CA · Medicaid Grp

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

Antoine E 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 ID2567522402

PECOS Enrollment IDI20081121000193

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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.4

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers33 claims3,800 services$1.44 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier13 claims1,650 services$6.10 avg. paid by Medicare

Intermittent urinary catheter, with insertion supplies A4353

DME-Orthotic Devices · category DF008N

1 supplier11 claims2,200 services$6.76 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

3 suppliers23 claims35 services$8.76 avg. paid by Medicare

Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$4.59 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims430 services$0.07 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.

DR. ZHAN TAO WANG M.D.

Urology (Pediatric Urology)