ERIN N KHOURY (PA) – Surgical Physician Assistant, NPI 1649231259

ERIN N KHOURY (PA) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA01423 (OR). The NPI Number for ERIN N KHOURY (PA) is 1649231259

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
ERIN N KHOURY (PA)
NPI
1649231259
Phone
(503) 236-0775
Address
975 SE SANDY BLVD
Enumeration Date
31 March 2006
Last Update Date
24 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034131122
Graduation Year
1999 (27 years ago)
PAC ID
8921040882
Group Practice PAC ID
0244144004
Professional Enrollment ID
I20090106000093
Address ID
OR972271623PO2801XAVEX400
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

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for ERIN N KHOURY (PA)

  • 975, Southeast Sandy Boulevard, Central Eastside, Buckman, Portland, Metro, Multnomah County, Oregon, 97214, United States

    SUITE 201

    PORTLAND, OR 972141308

    Phone: (503) 236-0775

    Fax: (503) 236-0786

    Type: Mailing

  • 875, Oak Street Southeast, Salem, Marion County, Oregon, 97301, United States

    SUITE 5020

    SALEM, OR 973013975

    Phone: (503) 371-4044

    Fax: (503) 371-4356

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $866.

Total Amount is formed as General ($866) + Research ($0) + Ownership ($0) = $866.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABIOMED ($385).

Total Amount

$866

General + Research + Ownership

Payments

26

Total payment records

General Amount

$866

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-01-06

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
I20090106000093IPhysician AssistantORTBD

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 97214)

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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: 0244144004View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
Vascular Surgery, General SurgeryOR
Physician AssistantOR
Internal MedicineOR
Critical Care (Intensivists)OR
-OR
Internal MedicineOR
Internal MedicineOR
Nurse PractitionerOR
-OR

Reviews

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Frequently asked questions

What is ERIN N KHOURY (PA)'s NPI number?
ERIN N KHOURY (PA)'s NPI is 1649231259 — the number used across U.S. healthcare to identify this provider.
Would ERIN N KHOURY (PA) appear as active to a payer?
You can treat ERIN N KHOURY (PA) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for ERIN N KHOURY (PA)?
At a glance, ERIN N KHOURY (PA) is tied to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is ERIN N KHOURY (PA) associated with Portland?
Public fields place ERIN N KHOURY (PA) around Portland, Oregon. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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