AMANDA KHOURY
NPI 1417512898
Podiatrist - Foot & Ankle Surgery in Salt Lake City, UT

Q: What is Amanda Khoury's NPI number?

The NPI number for Amanda Khoury is 1417512898. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Amanda Khoury's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Khoury was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 01, 2019PECOS EnrolledAccepts Medicare Assignment

96.43/100

CMS Quality Rating

24 S 1100 E STE 210, SALT LAKE CITY, UT 84102(801) 505-5277(801) 505-5280 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2022, May 1, 2019 (2 updates tracked since 2019).

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About Amanda Khoury NPPES

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

AMANDA KHOURY (NPI 1417512898) is an individual foot & ankle surgery provider in Salt Lake City, Utah, licensed in Utah (12612990-0501) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York College Of Podiatric Medicine (2019).

NPPES Registry Identity

NPI1417512898

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameAMANDA KHOURY

Location Address24 S 1100 E STE 210Salt Lake City, UT 84102-1580

Mailing Address280 S Main StBountiful, UT 84010-6236 · (801) 505-0821 · Fax (801) 505-0803

Phone(801) 505-5277

Fax(801) 505-5280

Sole ProprietorNo

Medical School CMSNew York College Of Podiatric MedicineGraduated 2019

Enumeration DateMay 1, 2019

Last NPPES UpdateMay 3, 20222 updates tracked since enumeration

NPPES CertifiedMay 3, 2022

✔ NPI 1417512898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in UT · 12612990-0501

24 S 1100 E STE 210, Salt Lake City, UT 84102

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Secondary Practice Locations 2

Location 11000 Montauk HwyWest Islip, NY 11795-4927 · Phone (631) 376-3000 · Fax (631) 376-3420

Location 28822 S Redwood Rd Ste E1West Jordan, UT 84088-9336 · Phone (801) 285-7060 · Fax (801) 285-7061

Other Identifiers 1

Medicaid12612990-0501UT

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

Amanda Khoury 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 ID4587991179

PECOS Enrollment IDI20230921003733

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 12

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.

Test or measurement for functional capacity, each 15 minutes 97750

This procedure measures your functional capacity, or ability to perform tasks, over 15-minute intervals. It can help identify limitations or improvements in your physical abilities. The test may involve activities like walking, lifting, or bending.

198 services96 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

142 services92 patients

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.

140 services83 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

81 services47 patients

Application of vein wound compression bandages on lower leg, ankle, and foot 29581

Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.

64 services15 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.

53 services36 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

46 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

45 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

24 services18 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

19 services12 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

15 services12 patients

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.

96.43/100

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

Scored as part of a group practice

Quality

89.5

Improvement Activities

Reported Quality Measures

e-Prescribing

94%156 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

66%228 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.

Other Providers at the Same Location NPPES 6

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

CALLIE LORRAINE MORLOCK DPM

Podiatrist (Foot & Ankle Surgery)