Khurrum Sanaullah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

285579 Issued in NY

Practice address

100 Ohio St Ste 2
Medina, NY 14103-1191

Phone

(585) 318-4455

Fax

(585) 344-5440

NPI assigned

Jul 28, 2006

Last updated

May 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksanaullah299564@direct.rochesterregional.org

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.

• Rochester General Hospital

  dba Rochester General Medical Groups

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712

  Pediatrics

  Medicare reassignment NPD
• United Memorial Medical Center

  • General Acute Care Hospital
  • Batavia, NY
  • NPI 1902800352
  Medicare reassignment NPD
• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608

  Pediatrics

  Medicare reassignment NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1255360517
  NPD
• United Memorial Medical Center

  • Family Medicine Physician
  • Batavia, NY
  • NPI 1669747085
  NPD
• Batavia Pediatrics, PC

  • Pediatrics Physician
  • Batavia, NY
  • NPI 1073699005
  NPD (past)
• United Memorial Medical Center

  • General Practice Physician
  • Batavia, NY
  • NPI 1528337284
  NPD (past)
• Florida Medical Associates LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1336153709
  NPD (past)
• Primary Medical Care R Ayala MD PA

  dba Family Medical Center

  • Multi-Specialty Clinic/Center
  • Dade City, FL
  • NPI 1790799526
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1245244763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-343-2611",
            "fax_number": "585-343-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OHIO ST STE 2",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031191",
            "telephone_number": "585-318-4455",
            "fax_number": "585-344-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13438 Fort King Rd",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "335255214",
            "country_code": "US",
            "telephone_number": "352-567-5266",
            "fax_number": "352-567-3066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Batavia City Ctr",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140202107",
            "country_code": "US",
            "telephone_number": "585-343-2611",
            "fax_number": "585-343-3826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANAULLAH",
        "first_name": "KHURRUM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "285579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksanaullah299564@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "47 Batavia City Ctr",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140202107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rite Aid of New York Inc (Rite Aid Pharmacy 00665)
• Rosenkrans Pharmacy Inc (Rosenkrans Pharmacy)
• Rosenkrans Pharmacy Inc
• Marcel Rozario, NP
• Brittany Nicole Rudd, DPT
• James Mitchell Sannes, PHARMACIST
• Emily Patricia Sansone, MSOT, OTR/L
• Emily Ann Scalzo
• Rachelle Schaf
• Cathy M. Schiffer, SLP

• Pediatrics Physician in Medina, NY
• Providers in Medina, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.