Active NPI
Huma Khusro MD PC
- Adult Mental Health Clinic/Center
- Gadsden, AL
National Provider Identifier
1083819924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 19471
- Legal business name
- HUMA KHUSRO MD PC
- Practice address
- 106 Bay St
Gadsden, AL 35901-5229 - Phone
- (256) 547-7778
- Fax
- (256) 547-7709
- NPI assigned
- Jun 20, 2007
- Last updated
- Dec 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Huma Khusro, M.D.
- Title
- President
- Phone
- (256) 547-7778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 19471 | AL | Primary |
Addresses
Primary practice location
106 Bay St
Gadsden, AL 35901-5229
Mailing address
106 Bay St
Gadsden, AL 35901-5229
Phone (256) 547-7778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529909210 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
600 S 3rd St
Ste 735
Gadsden, AL 35901
Phone (256) 441-0966
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Gadsden, AL
- NPI 1104929587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671580800000",
"number": "1083819924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 BAY ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015229",
"telephone_number": "256-547-7778",
"fax_number": "256-547-7709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BAY ST",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359015229",
"telephone_number": "256-547-7778",
"fax_number": "256-547-7709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMA KHUSRO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A",
"authorized_official_last_name": "KHUSRO",
"authorized_official_first_name": "HUMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-547-7778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "AL",
"license": "19471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529909210",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.