DR. RANDA RAJAI KHOURY M.D.
NPI 1629233937
Dermatology in Vienna, VA

Q: What is Randa Khoury's NPI number?

The NPI number for Randa Khoury is 1629233937. It was assigned to this individual provider in the NPPES registry on July 25, 2008.

Q: What is Randa Khoury's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Randa Khoury was last updated on February 4, 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 July 25, 2008PECOS EnrolledAccepts Medicare Assignment

8301 OLD COURTHOUSE RD, VIENNA, VA 22182(703) 442-0300(703) 442-0337 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2022, Jun 2, 2021 (2 updates tracked since 2021).

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About Dr. Randa Rajai Khoury M.d. NPPES

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

DR. RANDA RAJAI KHOURY M.D. (NPI 1629233937) is an individual dermatology provider in Vienna, Virginia, licensed in Virginia (101258400) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of George Washington University School Of Medicine (2008).

NPPES Registry Identity

NPI1629233937

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. RANDA RAJAI KHOURYCredential: M.D.

Location Address8301 OLD COURTHOUSE RDVienna, VA 22182-3804

Mailing Address3130 Highland Avenue, Ground FloorCincinnati, OH 45267

Phone(703) 442-0300

Fax(703) 442-0337

Sole ProprietorYes

Medical School CMSGeorge Washington University School Of MedicineGraduated 2008

Enumeration DateJuly 25, 2008

Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2022

✔ NPI 1629233937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in VA · 101258400

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedInternal MedicineTaxonomy 207R00000X · License TRAINING (DC)

8301 OLD COURTHOUSE RD, Vienna, VA 22182

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Secondary Practice Locations 2

Location 13025 Hamaker Ct Ste 300Fairfax, VA 22031-2237 · Phone (703) 849-8036 · Fax (703) 204-3448

Location 23130 Highland Avenue, Ground FloorCincinnati, OH 45267 · Phone (513) 584-4644 · Fax (513) 584-3531

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. Randa Rajai Khoury M.d. 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 ID8426297656

PECOS Enrollment IDI20151006001725

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 22182 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

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 5

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

DR. NAIEM TONY ISSA M.D., PH.D.

Dermatology