Miraflor G Khorshad, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13212 Issued in WV

Practice address

415 Main St
Summersville, WV 26651-1343

Phone

(304) 872-5500

Fax

(304) 872-5592

NPI assigned

Oct 12, 2006

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

General Practice

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camden on Gauley Medical Center IncGroup PAC ID 6002867850, shared by 25 NPIs, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Nettie, WV
  • NPI 1174065916
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health-Red Oak

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1215394648
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Craigsville, WV
  • NPI 1427585157
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1508372228
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Central WV Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1558340414
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Ansted, WV
  • NPI 1801493499
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health (lewis)

  • Federally Qualified Health Center (FQHC)
  • Weston, WV
  • NPI 1861872541
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc.

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
  • NPI 1811420250
  Medicare reassignment NPD
• Camden on Gauley Medical Center, Inc.

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Summersville, WV
  • NPI 1669947222
  Medicare reassignment NPD
• Camden on Gauley Medical Center Inc

  dba Camden Family Health

  • Federally Qualified Health Center (FQHC)
  • Richwood, WV
  • NPI 1700312618
  Medicare reassignment
• Camden on Gauley Medical Center, Inc

  dba Camden Family Health (Cowen Location)

  • Federally Qualified Health Center (FQHC)
  • Cowen, WV
  • NPI 1639418361
  Medicare reassignment
• Summersville Multi- Clinic

  • Specialist
  • Summersville, WV
  • NPI 1831375260
  Authorized official Same address or phone

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

• West Virginia Health Care Cooperative Inc

  dba Summersville Regional Medical Center

  • Critical Access Hospital
  • Summersville, WV
  • NPI 1043778319
  Care Compare affiliation
• West Virginia Health Care Cooperative Inc

  dba SRMC Medical Group

  • Hospitalist Physician
  • Summersville, WV
  • NPI 1417415324
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1295824365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511343",
            "telephone_number": "304-872-1663",
            "fax_number": "304-872-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MAIN ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511343",
            "telephone_number": "304-872-5500",
            "fax_number": "304-872-5592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10003 Webster Rd",
            "address_purpose": "LOCATION",
            "city": "Camden ON Gauley",
            "state": "WV",
            "postal_code": "262087713",
            "country_code": "US",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHORSHAD",
        "first_name": "MIRAFLOR",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "13212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049819000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adonnica Nicole Keiffer
• Blair Kelley
• Brooke Janine Key, PHYSICIAN ASSISTANT
• Marsha Ann Key
• Kimberly Keyser, MSW
• Stacie Dawn Kidd
• Vicky L Killin
• Connie Kincaid
• Misty Dawn King
• Carol Kirby

• Family Medicine Physician in Summersville, WV
• Providers in Summersville, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.

Verify at the official NPI Registry.