ASHLEY KHOURI MD
NPI 1700524865
Dermatology in Salt Lake City, UT

Active since May 26, 2022PECOS Enrolled
50 N MEDICAL DR, SALT LAKE CITY, UT 84132(814) 553-6439 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashley Khouri Md NPPES

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

ASHLEY KHOURI MD (NPI 1700524865) is an individual dermatology provider in Salt Lake City, Utah, licensed in Utah (14238946-1205) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700524865
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameASHLEY KHOURICredential: MD
Location Address50 N MEDICAL DRSalt Lake City, UT 84132-0001
Mailing Address30 N. Mario Capecchi Dr.Salt Lake City, UT 84112 · (801) 581-2121
Sole ProprietorNo
Enumeration DateMay 26, 2022
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1700524865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in UT · 14238946-1205
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.
50 N MEDICAL DR, Salt Lake City, UT 84132

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ashley Khouri 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 84132 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 20

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

Otolaryngology
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Occupational Therapist
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Emergency Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine (Rheumatology)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Physician Assistant (Surgical)
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Internal Medicine
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Student in an Organized Health Care Education/Training Program
50 N MEDICAL DR
SALT LAKE CITY, UT 84132
Registered Nurse
50 N MEDICAL DR
SALT LAKE CITY, UT 84132

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 Ashley Khouri's NPI number?

The NPI number for Ashley Khouri is 1700524865. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Ashley Khouri located?

Ashley Khouri practices at 50 N Medical Dr, Salt Lake City, UT 84132. The listed phone number is (814) 553-6439.

What is Ashley Khouri's specialty?

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

Is Ashley Khouri enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ashley Khouri was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.