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DR. GRACE VICTOR KHOURI M.D.
NPI 1609945278
Pediatrics in Dallas, TX

Active since November 07, 2006PECOS Enrolled
5470 W. LOVERS LANE, #330, DALLAS, TX 75209(214) 956-7337(469) 364-8724 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Grace Victor Khouri M.d. NPPES

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

DR. GRACE VICTOR KHOURI M.D. (NPI 1609945278) is an individual pediatrics provider in Dallas, Texas, licensed in Texas (M2241) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1609945278
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GRACE VICTOR KHOURICredential: M.D.
Location Address5470 W. LOVERS LANE, #330Dallas, TX 75209
Mailing Address5470 W. Lovers Lane, #330Dallas, TX 75209-0125 · (214) 956-7337 · Fax (469) 364-8724
Phone(214) 956-7337
Fax(469) 364-8724
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 1, 2015
✔ NPI 1609945278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · M2241
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.
5470 W. LOVERS LANE, Dallas, TX 75209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grace Victor Khouri M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113498809
PECOS Enrollment IDI20260603002853
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.

Medicare Billing Reassignment

Medicare enrollment records show Grace Khouri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dallas Physician Medical Services For Children Inc
4.8 mi
Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group
NPI 1194153650 (214) 456-7000

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 75209 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 3

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

DR. JANE S HAMNER MD
Pediatrics
5470 W. LOVERS LANE, SUITE 330
DALLAS, TX 75209
Dallas County (214) 956-7337
INWOOD VILLAGE PEDIATRICS
Pediatrics
5470 W. LOVERS LANE, SUITE 330
DALLAS, TX 75209
Dallas County (214) 956-7337
DR. TAMMY L. BROXSON MD
Pediatrics
5470 W. LOVERS LANE, SUITE 330
DALLAS, TX 75209
Dallas County (214) 956-7337

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 Grace Khouri's NPI number?

The NPI number for Grace Khouri is 1609945278. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Grace Khouri located?

Grace Khouri practices at 5470 W. Lovers Lane #330, Dallas, TX 75209. The listed phone number is (214) 956-7337.

What is Grace Khouri's specialty?

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

Is Grace Khouri enrolled in Medicare?

Yes. Grace Khouri is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grace Khouri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Khouri reassigns Medicare benefits to Dallas Physician Medical Services For Children Inc (Dallas, TX). 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 Grace Khouri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Khouri accept?

Health plans from Baylor Scott and White Health Plan list Grace Khouri 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 Grace Khouri was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.