Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MATTHEW KHOURI PA
NPI 1902652712
Physician Assistant - Surgical in Aurora, CO

Active since April 24, 2024PECOS Enrolled
12505 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Matthew Khouri Pa NPPES

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

MATTHEW KHOURI PA (NPI 1902652712) is an individual surgical provider in Aurora, Colorado, licensed in Colorado (PA.0009904) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1902652712
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMATTHEW KHOURICredential: PA
Location Address12505 E 16TH AVEAurora, CO 80045
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 24, 2024
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1902652712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CO · PA.0009904
12505 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 113001 E 17th Pl Rm E7019Aurora, CO 80045-2570 · Phone (303) 724-7963

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

Matthew Khouri Pa 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 ID6406352491
PECOS Enrollment IDI20250930000357
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.

Hospital Affiliations CMS Care Compare

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

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

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.

Pathology (Anatomic Pathology & Clinical Pathology)
12505 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12505 E 16TH AVE
AURORA, CO 80045
Physician Assistant (Surgical)
12505 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12505 E 16TH AVE
AURORA, CO 80045
Physician Assistant (Medical)
12505 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12505 E 16TH AVE
AURORA, CO 80045
Emergency Medicine
12505 E 16TH AVE
AURORA, CO 80045
Surgery (Trauma Surgery)
12505 E 16TH AVE
AURORA, CO 80045

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 Matthew Khouri's NPI number?

The NPI number for Matthew Khouri is 1902652712. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Where is Matthew Khouri located?

Matthew Khouri practices at 12505 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Matthew Khouri's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Matthew Khouri enrolled in Medicare?

Yes. Matthew Khouri 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.

Is Matthew Khouri affiliated with any hospitals?

According to CMS data, Matthew Khouri is affiliated with Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Khouri was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.