LEILA KHADDOUR MD – NPI #1750797486
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

LEILA KHADDOUR is a physician located in CALDWELL, ID. NPPES has assigned the NPI number 1750797486 to LEILA KHADDOUR on July 02, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEILA KHADDOUR below.

NPI Profile for
LEILA KHADDOUR

NPI Number
1750797486
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LEILA KHADDOUR
Credentials
MD
Primary location
3123 MEDICAL DR
CALDWELL, ID 83605-6972
Phone: (208) 367-3131 Fax: (208) 367-4817
1 Other location(s):
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Mailing address
3340 E GOLDSTONE DR
MERIDIAN, ID 83642-1026
Phone: (208) 367-5170 Fax: (208) 367-5180
Sole Proprietor
No
Updated
Certification Date
Sep 18, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RX0202X
- Internal Medicine / Medical Oncology (Primary)
ID MC-0480
207R00000X
- Internal Medicine
MI 4301105339

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LEILA KHADDOUR is affiliated with the following medical group(s):
  • HOSPITAL
    • SAINT ALPHONSUS MEDICAL CENTER - NAMPA
      4300 E FLAMINGO AVE
      NAMPA, ID 83687
    • SAINT ALPHONSUS REGIONAL MEDICAL CENTER
      1055 NORTH CURTIS ROAD
      BOISE, ID 83706
    • WEST VALLEY MEDICAL CENTER
      1717 ARLINGTON STREET
      CALDWELL, ID 83605

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.