SAM M. KHOURI, MD, A PROFESSIONAL MEDICAL CORPORATION
NPI 1760093249
Internal Medicine in Folsom, CA

Active since August 10, 2020
1580 CREEKSIDE DR STE 260, FOLSOM, CA 95630(916) 984-7870(916) 984-7871 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sam M. Khouri, Md, A Professional Medical Corporation NPPES

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

SAM M. KHOURI, MD, A PROFESSIONAL MEDICAL CORPORATION (NPI 1760093249), doing business as Sam M. Khouri, Md, is a healthcare organization registered as an internal medicine in Folsom, California and active in the NPI registry since August 2020. The organization lists Sami M Khouri, Owner, as its authorized official.

NPPES Registry Identity

NPI1760093249
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSAM M. KHOURI, MD, A PROFESSIONAL MEDICAL CORPORATION
Location Address1580 CREEKSIDE DR STE 260Folsom, CA 95630-3889
Mailing Address1580 Creekside Dr Ste 260Folsom, CA 95630-3889 · (916) 984-7870 · Fax (916) 984-7871
Fax(916) 984-7871
Organization SubpartYesParent: Sam M. Khouri, Md
Authorized OfficialSami M KhouriOwner · (916) 984-7870
Enumeration DateAugust 10, 2020
NPPES CertifiedAugust 10, 2020
✔ NPI 1760093249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1580 CREEKSIDE DR STE 260, Folsom, CA 95630

Other Names 1

Doing Business AsSam M. Khouri, Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam M. Khouri, Md, A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sam M. Khouri, MD, A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1295779197
1580 CREEKSIDE DR STE 260
Folsom, CA 95630
(916) 984-7870
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952004020
4000 INNOVATOR DR UNIT 11103
Sacramento, CA 95834
(518) 602-3602
✔ PECOS20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sam M. Khouri, MD, A Professional Medical Corporation's NPI number?

The NPI number for Sam M. Khouri, MD, A Professional Medical Corporation is 1760093249. It was assigned to this organization in the NPPES registry on August 10, 2020. The provider is doing business as Sam M. Khouri, MD.

Where is Sam M. Khouri, MD, A Professional Medical Corporation located?

Sam M. Khouri, MD, A Professional Medical Corporation is located at 1580 Creekside Dr Ste 260, Folsom, CA 95630. The listed phone number is (916) 984-7870.

What is Sam M. Khouri, MD, A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sam M. Khouri, MD, A Professional Medical Corporation enrolled in Medicare?

Yes. Sam M. Khouri, MD, A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sam M. Khouri, MD, A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sam M. Khouri, MD, A Professional Medical Corporation, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sam M. Khouri, MD, A Professional Medical Corporation was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.