Active NPI
Sairah Khadija, MD
- Endocrinology, Diabetes & Metabolism Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 2023-02827
- Practice address
- 2544 Court Dr Ste a
Gastonia, NC 28054-3450 - Phone
- (704) 671-6400
- Fax
- (704) 671-6449
- NPI assigned
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2023-02827 | NC | Primary |
Addresses
Primary practice location
2544 Court Dr Ste a
Gastonia, NC 28054-3450
Mailing address
PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caromont Medical Group Inc
Practice addresses (Care Compare)
1200 Village Harbor Dr
Suite C
Lake Wylie, SC 29710-9092
Phone (704) 834-3278
2544 Court Dr
Suite a
Gastonia, NC 28054-3450
Phone (704) 671-6400
Hospital & facility affiliations
- Caromont Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-02827 | NC | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
2544 Court Dr
Ste A
Gastonia, NC 28054
Phone (704) 671-6400
1200 Village Harbor Dr
Ste C
Lake Wylie, SC 29710
Phone (704) 834-3278
1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
Endocrinology, Diabetes & Metabolism
-
- Family Medicine Physician
- Clover, SC
- NPI 1568641165
-
- Endocrinology, Diabetes & Metabolism Physician
- Gastonia, NC
- NPI 1184805103
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1255828752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744786",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303744786",
"telephone_number": "704-834-2450",
"fax_number": "704-671-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 COURT DR STE A",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543450",
"telephone_number": "704-671-6400",
"fax_number": "704-671-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHADIJA",
"first_name": "SAIRAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-19",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NC",
"license": "2023-02827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.