Individual provider Active NPI

Khurshid Ahmad Khurshid, MD

  • Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1215006663
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
277952 Issued in MA
Practice address
100 Century Dr
Worcester, MA 01606-1244
Phone
(508) 762-5400
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 277952 MA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 277952 MA
Psychiatry Physician 2084P0800X 277952 MA Primary

Addresses

Primary practice location

100 Century Dr
Worcester, MA 01606-1244

Mailing address

PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

33 Lyman St
Westborough, MA 01581
Phone (508) 898-0055

Other practice location 2

61 Lincoln St Ste 203
Framingham, MA 01702-8264
Phone (781) 666-2711

Other identifiers 2

IdentifierTypeStateIssuer
005477800MedicaidFL
110152003AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkhurshid266493@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190412001225 MA Practitioner - Psychiatry 0446343768 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Spectrum Neuro Behavioral Care LLCGroup PAC ID 2860721362, 57 clinicians

Practice addresses (Care Compare)

300 Friberg Pkwy
Westborough, MA 01581-3900
Phone (508) 329-6300

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000

61 Lincoln St
Framingham, MA 01702-8264
Phone (781) 666-2711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Psychiatry CurrentSince Feb 22, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2020 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Mass Lung & Allergy, PC. CurrentSince Jun 1, 2019 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Mar 9, 2019 Accepting new patients
Westborough Behavioral Healthcare Hospital, LLC Psychiatry CurrentSince Dec 5, 2023 Accepting new patients
Spectrum Neuro Behavioral Care LLC CurrentSince Jan 7, 2023 Accepting new patients
Uhs of Westwood Pembroke Inc CurrentSince Apr 30, 2022 Accepting new patients
Hallmark Health System Inc Psychiatry CurrentSince Dec 20, 2019 Accepting new patients
Melrosewakefield Healthcare, Inc. CurrentSince Dec 20, 2019 Accepting new patients
Umass Memorial Medical Group Inc Psychiatry CurrentSince Mar 9, 2019 Accepting new patients
Pratt Psychiatric Associates, Inc Psychiatry CurrentSince Feb 1, 2026 Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

61 Lincoln St
Ste 203
Framingham, MA 01702
Phone (508) 500-6166

100 Hospital Rd
Malden, MA 02148
Phone (781) 322-7560

159 Union St
Ste 102
Marlborough, MA 01752
Phone (508) 481-0610

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

67 Union St
Ste 106
Natick, MA 01760
Phone (508) 650-9999

199 Oak St
Pembroke, MA 02359
Phone (781) 829-7000

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

300 Friberg Pkwy
Westborough, MA 01581
Phone (508) 329-6158

100 Century Dr
Worcester, MA 01606
Phone (508) 762-5400

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Interoperability endpoints

  • Direct secure messaging: kkhurshid28722@tuftsmedicine.direct-ci.com
  • Direct secure messaging: kkhurshid266493@umassmemorial.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1215006663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CENTURY DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016061244",
            "telephone_number": "508-762-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Lyman St",
            "address_purpose": "LOCATION",
            "city": "Westborough",
            "state": "MA",
            "postal_code": "01581",
            "country_code": "US",
            "telephone_number": "508-898-0055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Lincoln St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017028264",
            "country_code": "US",
            "telephone_number": "781-666-2711",
            "fax_number": "781-666-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHURSHID",
        "first_name": "KHURSHID",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MA",
            "license": "277952",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MA",
            "license": "277952",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "277952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005477800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110152003A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkhurshid266493@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "33 Lyman St",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "33 Lyman St",
            "city": "Westborough",
            "state": "MA",
            "country_code": "US",
            "postal_code": "01581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.