MOLLY NICOLE KHOURY MD
NPI 1558928077
Pediatrics in Oklahoma City, OK
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Molly Nicole Khoury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Molly Khoury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 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.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Molly Khoury's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Molly Khoury reassigns Medicare benefits to Ou Health Partners, Inc (Oklahoma City, OK). The 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 Molly Khoury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Molly Khoury accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health 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.
# Molly Nicole Khoury, MD · NPI 1558928077
Pediatrics physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since May 20, 2019.
## Identity
- **NPI:** 1558928077 (Entity type: Individual)
- **Enumerated:** May 20, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 34861 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 CHILDRENS AVE # 14000, Oklahoma City, OK 73104-4637
- **Phone:** (405) 271-4417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ou Health Partners, Inc (NPI 1528642642, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1558928077) · Data from the CMS NPPES public registry.