DR. WISAM JOSEPH KHOURY (M.D.) – Family Medicine Physician, NPI 1356381966

DR. WISAM JOSEPH KHOURY (M.D.) is a healthcare provider. based in Glendale, California. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. G79795 (CA). The NPI Number for DR. WISAM JOSEPH KHOURY (M.D.) is 1356381966

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. WISAM JOSEPH KHOURY (M.D.)
NPI
1356381966
Phone
(818) 427-4116
Address
1818 VERDUGO BLVD
Enumeration Date
8 June 2006
Last Update Date
28 December 2012

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9498509964
Graduation Year
1993 (33 years ago)
PAC ID
2264336437
Group Practice PAC ID
8729221809
Professional Enrollment ID
I20031125000747
Address ID
CA926916376MI26732PKWY402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. WISAM JOSEPH KHOURY (M.D.)

  • 1818, Verdugo Boulevard, Glendale, Los Angeles County, California, 91208, United States

    SUITE 302

    GLENDALE, CA 912081403

    Phone: (818) 427-4116

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Gilead Sciences, Inc. ($29).

Total Amount

$29

General + Research + Ownership

Payments

1

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$29
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031125000747IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,24865$0
99291Critical care, first 30-74 minutes13636$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes127116$0
99183Management of oxygen chamber therapy11415$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11242$0
View full utilization report →

Insurance plans in this area (ZIP 91208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729221809View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineCA
Emergency Medicine, General Practice, Undersea And Hyperbaric MedicineCA
General PracticeCA
Emergency MedicineCA
Physician AssistantCA
Emergency MedicineCA
Family Practice, Emergency MedicineCA
General SurgeryCA
Internal Medicine, HospitalistCA

Reviews

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Frequently asked questions

What identifier follows DR. WISAM JOSEPH KHOURY (M.D.) across health systems?
The NPI 1356381966 uniquely identifies DR. WISAM JOSEPH KHOURY (M.D.) in U.S. healthcare data.
Should I treat DR. WISAM JOSEPH KHOURY (M.D.) as an active provider?
Patients and plans typically see DR. WISAM JOSEPH KHOURY (M.D.) as active in the national extract.
What services align with DR. WISAM JOSEPH KHOURY (M.D.)'s listing?
DR. WISAM JOSEPH KHOURY (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. WISAM JOSEPH KHOURY (M.D.) tied to Glendale, California?
If you are local to Glendale, California, DR. WISAM JOSEPH KHOURY (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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