NPIMap

Individual provider Active NPI

Rajesh K Khurana, M.D.

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1114917770
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9500970 Issued in NC
Practice address
382 Echo LN
Fayetteville, NC 28303-4667
Phone
(910) 323-1718
Fax
(910) 323-3834
NPI assigned
Oct 25, 2005
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9500970 NC Primary

Addresses

Primary practice location

382 Echo LN
Fayetteville, NC 28303-4667

Mailing address

382 Echo LN
Fayetteville, NC 28303-4667
Phone (910) 309-0343

Other identifiers 1

IdentifierTypeStateIssuer
895045FMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060130000532 NC Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3577592781 Reassigns benefits to 1 organization
Practice locations: Fayetteville, NC

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fayetteville Area Health Education Foundation IncGroup PAC ID 9830188770, 28 clinicians

Practice addresses (Care Compare)

1601 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 678-0100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fayetteville Family Medical Care, PA Family Medicine Current Accepting new patients
Fayetteville Area Health Education Foundation Inc Family Medicine CurrentSince Feb 19, 2014 Accepting new patients
Liberty Healthcare Group, LLC Past Accepting new patients
Carolina Cumberland Operator LLC Past Accepting new patients
The Carrolton of Fayetteville, LLC PastSince Oct 1, 2020 Accepting new patients
Cumberland Care, Inc. Past Accepting new patients

Locations

1307 Avon St
Fayetteville, NC 28304
Phone (910) 323-1718

1601 Owen Dr
Fayetteville, NC 28304
Phone (910) 323-1152

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Woodlands Nursing and Rehabilitation CenterFayetteville, NC, CCN 345481 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 29, 2025
Feb 20, 2026
The Carrolton of FayettevilleFayetteville, NC, CCN 345376 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2020
Oct 1, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1114917770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 ECHO LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034667",
            "telephone_number": "910-309-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 ECHO LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034667",
            "telephone_number": "910-323-1718",
            "fax_number": "910-323-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "RAJESH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9500970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "895045F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.