ANTOINE E KHOURY MD
NPI 1275704611
Urology - Pediatric Urology in Orange, CA
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
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Antoine Khoury reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Of Orange County
- 190 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 85 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
ORANGE, CA 92868
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 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.
Where is Antoine Khoury located?
Antoine Khoury practices at 505 S Main St Ste 100, Orange, CA 92868. The listed phone number is (714) 509-3919.
What is Antoine Khoury's specialty?
The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.
Is Antoine Khoury enrolled in Medicare?
Yes. Antoine 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.
Which organizations bill Medicare for Antoine Khoury's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antoine Khoury reassigns Medicare benefits to 2 organizations: Children's Hospital Of Orange County (Orange, CA) and Uci Department Of Urology (Orange, CA). Each 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 Antoine Khoury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Antoine E Khoury, MD · NPI 1275704611
Pediatric Urology physician in Orange, California. Individual provider, active in the CMS NPPES registry since March 13, 2008.
## Identity
- **NPI:** 1275704611 (Entity type: Individual)
- **Enumerated:** March 13, 2008
- **Primary specialty:** Urology - Pediatric Urology · taxonomy 2088P0231X
- **State license:** C53187 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 S MAIN ST STE 100, Orange, CA 92868-4568
- **Phone:** (714) 509-3919 · **Fax:** (714) 509-3917
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Of Orange County (NPI 1275975104, Orange, CA); Uci Department Of Urology (NPI 1255398533, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1978
## Record status
- **NPPES last updated:** April 29, 2014
- **Other identifiers:** Other W14887 (CA); Other GR0085140 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1275704611) · Data from the CMS NPPES public registry.