MOLLY NICOLE KHOURY MD
NPI 1558928077
Pediatrics in Oklahoma City, OK

Active since May 20, 2019PECOS Enrolled
1200 CHILDRENS AVE # 14000, OKLAHOMA CITY, OK 73104(405) 271-4417 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2021, May 20, 2019 (2 updates tracked since 2019).

About Molly Nicole Khoury Md NPPES

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

MOLLY NICOLE KHOURY MD (NPI 1558928077) is an individual pediatrics provider in Oklahoma City, Oklahoma, licensed in Oklahoma (34861) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558928077
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMOLLY NICOLE KHOURYCredential: MD
Location Address1200 CHILDRENS AVE # 14000Oklahoma City, OK 73104-4637
Mailing Address1200 Childrens Ave # 14000Oklahoma City, OK 73104-4637 · (405) 271-4417
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1558928077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OK · 34861
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 CHILDRENS AVE # 14000, Oklahoma City, OK 73104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Molly Nicole Khoury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Other Providers at the Same Location NPPES 19

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

Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104
Pediatrics
1200 CHILDRENS AVE # 14000
OKLAHOMA CITY, OK 73104

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 Molly Khoury's NPI number?

The NPI number for Molly Khoury is 1558928077. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Molly Khoury located?

Molly Khoury practices at 1200 Childrens Ave # 14000, Oklahoma City, OK 73104. The listed phone number is (405) 271-4417.

What is Molly Khoury's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Molly Khoury enrolled in Medicare?

Yes. Molly Khoury is registered in the Medicare PECOS enrollment system.

What insurance does Molly Khoury accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Molly Khoury as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Molly Khoury was last updated on December 17, 2021. 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.