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

Q: 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.

Q: 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.

Active since July 28, 2021PECOS EnrolledAccepts Medicare Assignment

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lyanne Marie Santana Khoury 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 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.

Medicare Billing Reassignment

Medicare enrollment records show Lyanne Santana Khoury reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC

40 mi

Anesthesiology

101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
984 clinicians in this Medicare group

NPI 1053038471 (401) 274-1122

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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lyanne Santana Khoury's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lyanne Santana Khoury reassigns Medicare benefits to Affinity Physicians LLC (Providence, RI). The 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 Lyanne Santana Khoury's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.