Individual provider Active NPI

Maria Khurshid, MD

  • Internal Medicine Physician
  • Brentwood, NY
National Provider Identifier
1285212464
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
332262 Issued in NY
Practice address
820 Suffolk Ave Ste 103
Brentwood, NY 11717-4498
Phone
(212) 257-2777
Fax
(212) 257-2777
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 289578 MA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 332262 NY Primary

Addresses

Primary practice location

820 Suffolk Ave Ste 103
Brentwood, NY 11717-4498

Mailing address

820 Suffolk Ave Ste 103
Brentwood, NY 11717-4498
Phone (631) 201-0006

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250912002865 NY Practitioner - Internal Medicine 1153824487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

820 Suffolk Ave
Suite 103
Brentwood, NY 11717-4498

86 Stoothoff Rd
East Northport, NY 11731-3920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
289578MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Maria Khurshid MD PC Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients

Locations

820 Suffolk Ave
Ste 103
Brentwood, NY 11717
Phone (212) 257-2777

Interoperability endpoints

  • Direct secure messaging: maria.khurshid.1@34082.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1285212464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE STE 103",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-201-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE STE 103",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "212-257-2777",
            "fax_number": "212-257-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURSHID",
        "first_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "289578",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "332262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.