Individual provider Active NPI

Huma Khusro, MD

  • Psychiatry Physician
  • Gadsden, AL
National Provider Identifier
1104929587
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19471 Issued in AL
Practice address
106 Bay St
Gadsden, AL 35901-5229
Phone
(256) 547-7778
Fax
(256) 547-7709
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 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) 546-7778

Other identifiers 2

IdentifierTypeStateIssuer
529909210MedicaidAL
631281963OtherALBLUECROSS/BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000319 AL Practitioner - Psychiatry 5698867737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Etowah Dekalb Cherokee Mental Health Board, IncGroup PAC ID 3678628427, 4 clinicians

Practice addresses (Care Compare)

106 Bay St
Gadsden, AL 35901-5229
Phone (256) 547-7778

425 5TH Ave NW
Attalla, AL 35954-2214
Phone (256) 492-7800

Hospital & facility affiliations

  • Floyd Cherokee Medical Center Hospital, Centre, AL, CCN 010022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19471ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huma Khusro MD PC CurrentSince Nov 30, 2015 Accepting new patients
Etowah Dekalb Cherokee Mental Health Board, Inc CurrentSince Dec 15, 2015 Accepting new patients

Locations

425 5th Ave NW
Attalla, AL 35954
Phone (256) 492-7800

106 Bay St
Gadsden, AL 35901
Phone (256) 546-7778

600 S 3rd St
Ste 735
Gadsden, AL 35901
Phone (256) 441-0966

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDGDAD/Endpoint/BDGDAD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1104929587",
    "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": "256-546-7778",
            "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": {
        "last_name": "KHUSRO",
        "first_name": "HUMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "19471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529909210",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "631281963",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.