DR. DOUGLAS A KHOURY (MD) – Colon & Rectal Surgery Physician, NPI 1457321754

DR. DOUGLAS A KHOURY (MD) is a healthcare provider. based in Portland, Oregon. specializing in Colon & Rectal Surgery Physician. They hold the professional credentials MD. They hold a License No. MD189462 (OR). The NPI Number for DR. DOUGLAS A KHOURY (MD) is 1457321754

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. DOUGLAS A KHOURY (MD)
NPI
1457321754
Phone
(503) 494-4373
Address
3303 SW BOND AVE
Enumeration Date
26 January 2006
Last Update Date
5 March 2020

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
5034948311
Graduation Year
1984 (42 years ago)
PAC ID
4789616962
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20181113003261
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DOUGLAS A KHOURY (MD)

  • OHSU Center For Health And Healing, 3303, Southwest Bond Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972394501

    Phone: (503) 494-4373

    Fax: (503) 418-4189

    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 7 Open Payments records for all available years, with a total value of $650.

Total Amount is formed as General ($650) + Research ($0) + Ownership ($0) = $650.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Ethicon Inc. ($650).

Total Amount

$650

General + Research + Ownership

Payments

7

Total payment records

General Amount

$650

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon Inc.$650
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: 2018-11-13

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
I20181113003261IColorectal Surgery (Proctology)ORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

Is DR. DOUGLAS A KHOURY (MD) listed with a National Provider Identifier?
Yes — DR. DOUGLAS A KHOURY (MD) has NPI 1457321754 on file in the registry.
Is there an active status for DR. DOUGLAS A KHOURY (MD)?
For scheduling context, DR. DOUGLAS A KHOURY (MD) is shown as active in the registry.
How would a patient describe DR. DOUGLAS A KHOURY (MD)'s focus?
For DR. DOUGLAS A KHOURY (MD), the primary taxonomy reads as Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. DOUGLAS A KHOURY (MD) located near Portland?
DR. DOUGLAS A KHOURY (MD) currently maps to Portland, Oregon in this extract.
When was this NPI issued?
Enumeration for DR. DOUGLAS A KHOURY (MD) is noted as January 26, 2006 where the registry provides it.

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