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SAMI M KHOURI MD
NPI 1295779197
Internal Medicine in Folsom, CA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
79.8/100
CMS Quality Rating
1580 CREEKSIDE DR, STE 260, FOLSOM, CA 95630(916) 984-7870(916) 984-7871 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sami M Khouri Md NPPES

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

SAMI M KHOURI MD (NPI 1295779197) is an individual internal medicine provider in Folsom, California, licensed in California (A60690) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1995).

NPPES Registry Identity

NPI1295779197
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMI M KHOURICredential: MD
Location Address1580 CREEKSIDE DR, STE 260Folsom, CA 95630
Mailing Address1580 Creekside Dr, Ste 260Folsom, CA 95630 · (916) 984-7870 · Fax (916) 984-7871
Phone(916) 984-7870
Fax(916) 984-7871
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1995
Enumeration DateJune 15, 2006
Last NPPES UpdateAugust 7, 2020
NPPES CertifiedAugust 7, 2020
✔ NPI 1295779197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A60690
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1580 CREEKSIDE DR, Folsom, CA 95630
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Other Identifiers 1

Medicaid00A606900CA

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

Sami M Khouri 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 ID3173412434
PECOS Enrollment IDI20040313000590
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
427 services218 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
350 services310 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
329 services208 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
83 services83 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
76 services76 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
47 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95630 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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.

79.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.92
Promoting Interoperability100
Improvement Activities40
Cost41.74

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%47 patients
Appropriate Treatment for Upper Respiratory Infection (URI)
41%73 patients2/55-star benchmark: 100%
Breast Cancer Screening
3%443 patients1/55-star benchmark: 93%
Cervical Cancer Screening
38%402 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
82%1,093 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
75%605 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
21%169 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%169 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
60%4,510 patients2/55-star benchmark: 100%
e-Prescribing
100%8,486 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
3%694 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%1,689 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,363 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%2,014 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,444 patients
Patients screened: 97% · 1,444 patients
32%38 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%1,700 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%400 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 728 patients
Patients totalRate: 15% · 728 patients
13%728 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers31 claims67 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims16 services$1.11 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers21 claims21 services$32.95 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers24 claims65 services$15.75 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims60 services$10.95 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers25 claims25 services$38.10 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 11

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

MS. SALLY BROOKE WATKINS L.C.S.W.
Social Worker (Clinical)
1580 CREEKSIDE DR, SUITE 240
FOLSOM, CA 95630
Sacramento County (916) 939-8249
DR. ERNEST J HOOK DPM
Podiatrist (Foot & Ankle Surgery)
1580 CREEKSIDE DR, SUITE 110
FOLSOM, CA 95630
Sacramento County (916) 984-7912
MR. PETER NICHOLAS SFAKIANOS M.D.
Specialist
1580 CREEKSIDE DR, SUITE 100
FOLSOM, CA 95630
Sacramento County (916) 984-4500
DEBI HOFFMAN PSY.D.
Psychologist
1580 CREEKSIDE DR, SUITE 240
FOLSOM, CA 95630
Sacramento County (916) 770-5579
DR. NAZIR AHMAD RAHIM MD
Internal Medicine (Gastroenterology)
1580 CREEKSIDE DR, STE 220
FOLSOM, CA 95630
Sacramento County (916) 983-4444
DR. MICHAEL HARRIS MILLMAN PH.D.
Psychologist (Addiction (Substance Use Disorder))
1580 CREEKSIDE DR, STE. 240
FOLSOM, CA 95630
Sacramento County (916) 984-9606
PETER N. SFAKIANOS, M.D., INC.
Orthopaedic Surgery
1580 CREEKSIDE DR, SUITE 100
FOLSOM, CA 95630
Sacramento County (916) 984-4500
MS. JULIE ELLEN MORRISON M.F.T.
Marriage & Family Therapist
1580 CREEKSIDE DR, SUITE 240
FOLSOM, CA 95630
Sacramento County (916) 508-2010

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 Sami Khouri's NPI number?

The NPI number for Sami Khouri is 1295779197. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Sami Khouri located?

Sami Khouri practices at 1580 Creekside Dr Ste 260, Folsom, CA 95630. The listed phone number is (916) 984-7870.

What is Sami Khouri's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sami Khouri enrolled in Medicare?

Yes. Sami Khouri 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.

When was this NPI record last updated?

The NPPES record for Sami Khouri was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.