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LEILA KHADDOUR MD
NPI 1750797486
Internal Medicine - Medical Oncology in Caldwell, ID

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
3123 MEDICAL DR, CALDWELL, ID 83605(208) 367-3131(208) 367-4817 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 18, 2020, Jul 15, 2020 and 1 more (4 updates tracked since 2017).

About Leila Khaddour Md NPPES

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

LEILA KHADDOUR MD (NPI 1750797486) is an individual medical oncology provider in Caldwell, Idaho, licensed in Idaho (MC-0480) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1750797486
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameLEILA KHADDOURCredential: MD
Location Address3123 MEDICAL DRCaldwell, ID 83605-6972
Mailing Address3340 E Goldstone DrMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 367-3131
Fax(208) 367-4817
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 2, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
✔ NPI 1750797486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in ID · MC-0480✔ Licensed in MI · 4301105339
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301105339 (MI)
3123 MEDICAL DR, Caldwell, ID 83605
Open in Google Maps ↗

Secondary Practice Location 1

Location 12799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 916-2600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

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

Leila Khaddour 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 ID7214152032
PECOS Enrollment IDI20200923002434
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
143 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
105 services59 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380052
Location351 SW 9th StreetOntario, OR 97914 · Malheur County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

ISABELLA M SATTERTHWAIT PA-C
Physician Assistant
3123 MEDICAL DR
CALDWELL, ID 83605
Canyon County (208) 367-3131
BOBBY CHAWLA D.O.
Internal Medicine (Hematology & Oncology)
3123 MEDICAL DR
CALDWELL, ID 83605
Canyon County (208) 367-3131
IAN KENNETH ANDERSON PHARMD
Pharmacist (Oncology)
3123 MEDICAL DR
CALDWELL, ID 83605
Canyon County (208) 367-3131

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 Leila Khaddour's NPI number?

The NPI number for Leila Khaddour is 1750797486. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Leila Khaddour located?

Leila Khaddour practices at 3123 Medical Dr, Caldwell, ID 83605. The listed phone number is (208) 367-3131.

What is Leila Khaddour's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Leila Khaddour enrolled in Medicare?

Yes. Leila Khaddour 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.

What insurance does Leila Khaddour accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Leila Khaddour 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.

Is Leila Khaddour affiliated with any hospitals?

According to CMS data, Leila Khaddour is affiliated with Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Saint Alphonsus Medical Center - Ontario.

When was this NPI record last updated?

The NPPES record for Leila Khaddour was last updated on July 21, 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.