Farjallah Nassim Khoury I, MD - Medicare Physical Medicine & Rehabilitation in Utica, NY

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Farjallah Nassim Khoury I, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Utica, New York. His current practice location is 1650 Champlin Ave, Utica, New York. You can reach out to his office (for appointments etc.) via phone at (315) 624-8400.

Farjallah Nassim Khoury I is licensed to practice in New York (license number 335053) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376704999.

Contact Information

Farjallah Nassim Khoury I, MD
1650 Champlin Ave,
Utica, NY 13502-4801
(315) 624-8400
(315) 624-8698

Map and Direction




Physician's Profile

Full NameFarjallah Nassim Khoury I
GenderMale
SpecialityPhysical Medicine & Rehabilitation
Location1650 Champlin Ave, Utica, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376704999
  • Provider Enumeration Date: 06/17/2008
  • Last Update Date: 01/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9830353044
  • Enrollment ID: I20120619000213

Medical Identifiers

Medical identifiers for Farjallah Nassim Khoury I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376704999NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 335053 (New York)Primary
208100000XPhysical Medicine & Rehabilitation A112452 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Farjallah Nassim Khoury I allows following entities to bill medicare on his behalf.
Entity NameEnloe Medical Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1972905503
PECOS PAC ID: 9739092388
Enrollment ID: O20141027001872
Entity NamePost-acute Physicians Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306224332
PECOS PAC ID: 1557676137
Enrollment ID: O20150811004724
Entity NameSt Joseph Health Northern California Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235218785
PECOS PAC ID: 8921374562
Enrollment ID: O20200706001160

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Farjallah Nassim Khoury I is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Farjallah Nassim Khoury I, MD
111 Hospital Dr,
Utica, NY 13502-2517

Ph: (315) 801-8534		Farjallah Nassim Khoury I, MD
1650 Champlin Ave,
Utica, NY 13502-4801

Ph: (315) 624-8400

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Utica, NY

Dr. Stephen Wade, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1508 Genesee St, Utica, NY 13502
Phone: 315-798-8737    Fax: 315-732-1702
Dr. John E. Minor, D.O.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1508 Genesee St, Utica, NY 13502
Phone: 315-798-8737    Fax: 315-732-1702
Sunkyung Juliana Hong, MD
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 2209 Genesee St, Utica, NY 13501
Phone: 315-798-8100    Fax: 315-798-8391

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.