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

Dr. Peter Easa Khoury, DO

Individual provider Anesthesiology Physician · NPI 1174057970

Dr. Peter Easa Khoury, DO is a Pain Management in Grand Rapids, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Nsa Pain Services of Michigan III, PLLC, a 17-clinician group and works from 3 locations. Licensed in Michigan.

Years since qualifying
9
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2017
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

2060 E Paris Ave SE Ste 200
Grand Rapids, MI 49546-6113
Phone: (616) 285-1377
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1675 E Mount Garfield Rd Ste 135, Norton Shores, MI 49444-7732 — (231) 799-8880
  • 2147 Health Dr Sw Ste 100, Wyoming, MI 49519-9675 — (616) 281-1600

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 64743 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 5101026090 (MI)

Record details

NPI number1174057970
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address2060 East Paris Ave Se Ste 200, Grand Rapids, MI 49546-6113

Medicare enrollment

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

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Nsa Pain Services Of Michigan Iii, Pllc — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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