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DR. KHALED W. JABBOURY MD
NPI 1629064308
Specialist in Houston, TX

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
12121 RICHMOND AVE, #100, HOUSTON, TX 77082(281) 558-5385(281) 558-6589 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Khaled W. Jabboury Md NPPES

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

DR. KHALED W. JABBOURY MD (NPI 1629064308) is an individual specialist in Houston, Texas, licensed in Texas (G6443) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1629064308
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KHALED W. JABBOURYCredential: MD
Location Address12121 RICHMOND AVE, #100Houston, TX 77082-2432
Mailing Address12121 Richmond Ave, #100Houston, TX 77082-2432 · (281) 558-5385 · Fax (281) 558-6589
Phone(281) 558-5385
Fax(281) 558-6589
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629064308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · G6443
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12121 RICHMOND AVE, Houston, TX 77082
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Other Identifiers 3

MedicaidP089970B1TX
Medicare ID-Type Unspecified89970BTX
Medicare UPINE02265TX

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

Dr. Khaled W. Jabboury 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 ID7517917883
PECOS Enrollment IDI20140404000351
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.

Other Providers at the Same Location NPPES 20

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

STEPHEN E. GUILLIAMS, MD PA
Obstetrics & Gynecology
12121 RICHMOND AVE, SUITE 203
HOUSTON, TX 77082
Harris County (281) 558-5855
COASTAL-KIDNEY TREATMENT CENTERS PLLC
Internal Medicine (Nephrology)
12121 RICHMOND AVE, #214
HOUSTON, TX 77082
Harris County (281) 558-6555
DR. EDWARD H SAUER D.D.S.
Dentist (General Practice)
12121 RICHMOND AVE, SUITE 314
HOUSTON, TX 77082
Harris County (281) 870-9000
AMY TERMINA CSA
Specialist/Technologist, Other (Surgical Assistant)
12121 RICHMOND AVE, SUITE 201
HOUSTON, TX 77082
Harris County (832) 797-8405
TAWAKKOL SURGICAL, LLC
Clinic/Center (Ambulatory Surgical)
12121 RICHMOND AVE, SUITE 408
HOUSTON, TX 77082
Harris County (281) 293-8307
WEST HOUSTON MEDICAL CENTER
General Acute Care Hospital
12121 RICHMOND AVE, SUITE # 417
HOUSTON, TX 77082
Harris County (713) 582-8968
CUO PA
Internal Medicine
12121 RICHMOND AVE, SUITE 420
HOUSTON, TX 77082
Harris County (281) 496-5900
MISS DEBORAH LYNN BORGMAN R.N.FNP
Nurse Practitioner (Primary Care)
12121 RICHMOND AVE, SUITE 409
HOUSTON, TX 77082
Harris County (281) 493-4922

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 Khaled Jabboury's NPI number?

The NPI number for Khaled Jabboury is 1629064308. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Khaled Jabboury located?

Khaled Jabboury practices at 12121 Richmond Ave #100, Houston, TX 77082. The listed phone number is (281) 558-5385.

What is Khaled Jabboury's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Khaled Jabboury enrolled in Medicare?

Yes. Khaled Jabboury 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 Khaled Jabboury was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.