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LYANNE MARIE SANTANA KHOURY MD
NPI 1972276608
Internal Medicine - Geriatric Medicine in Brookline, MA

Active since July 28, 2021PECOS Enrolled
1 BROOKLINE PL STE 230, BROOKLINE, MA 02445(401) 456-2000 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2026, Apr 28, 2026, Dec 30, 2024 and 1 more (4 updates tracked since 2021).

About Lyanne Marie Santana Khoury Md NPPES

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

LYANNE MARIE SANTANA KHOURY MD (NPI 1972276608) is an individual geriatric medicine provider in Brookline, Massachusetts, licensed in Rhode Island (MD21078) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1972276608
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameLYANNE MARIE SANTANA KHOURYCredential: MD
Location Address1 BROOKLINE PL STE 230Brookline, MA 02445-7224
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 456-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 28, 2021
Last NPPES UpdateMay 27, 20264 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1972276608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in RI · MD21078✔ Licensed in MA · 3015628
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD21078 (RI)
1 BROOKLINE PL STE 230, Brookline, MA 02445
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Secondary Practice Locations 2

Location 1215 Toll Gate Rd Ste 104Warwick, RI 02886-4463 · Phone (401) 921-7290 · Fax (401) 921-6194
Location 21405 S County Trl Ste 1AEast Greenwich, RI 02818-5081 · Phone (401) 921-7290 · Fax (401) 921-6194

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyanne Marie Santana Khoury Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810360245
PECOS Enrollment IDI20260604000686
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 02445 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 2

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

SARAH EMILY GOREY MB BCH BAO MSC
Internal Medicine (Geriatric Medicine)
1 BROOKLINE PL STE 230
BROOKLINE, MA 02445
Norfolk County (508) 320-0586
DIVA CHALISA MARAJ MD
Student in an Organized Health Care Education/Training Program
1 BROOKLINE PL STE 230
BROOKLINE, MA 02445
Norfolk County (508) 320-0586

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 Lyanne Santana Khoury's NPI number?

The NPI number for Lyanne Santana Khoury is 1972276608. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Lyanne Santana Khoury located?

Lyanne Santana Khoury practices at 1 Brookline Pl Ste 230, Brookline, MA 02445. The listed phone number is (401) 456-2000.

What is Lyanne Santana Khoury's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Lyanne Santana Khoury enrolled in Medicare?

Yes. Lyanne Santana Khoury is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lyanne Santana Khoury was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.