Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bishara Robert Khoury, DO

Individual provider Family Medicine Physician · NPI 1831576693

Bishara Robert Khoury, DO is a Family Practice in Portage, Indiana. Qualified in 2015, 11 years ago. Practices with Community Care Network Inc, a 374-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3545 Arbor Blvd Ste E
Portage, IN 46368
Phone: (219) 947-6920
Fax: (219) 947-6921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3800 Saint Mary Rd Ste 102, Valparaiso, IN 46383-3986 — (219) 286-3775

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02005157A (IN)

Record details

NPI number1831576693
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2015
Last updated in NPPESMarch 25, 2023
Certification dateMarch 25, 2023
Mailing address53 Sheffield Ln, Oak Brook, IL 60523-2353

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Community Care Network Inc — 374 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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