Individual provider Active NPI

Usman A Khawaja, MD

  • Interventional Cardiology Physician
  • Thomasville, NC
National Provider Identifier
1336111301
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
200101078 Issued in NC
Practice address
211 Old Lexington Rd
Thomasville, NC 27360-3428
Phone
(336) 472-1191
Fax
(336) 172-1208
NPI assigned
Feb 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 200101078 NC
Interventional Cardiology Physician 207RI0011X 200101078 NC Primary

Addresses

Primary practice location

211 Old Lexington Rd
Thomasville, NC 27360-3428

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 472-1191

Other identifiers 1

IdentifierTypeStateIssuer
89130K8MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ukhawaja18875@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040107000975 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 6204735319 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

1226 Eastchester Dr
Suite 100
High Point, NC 27265-3116
Phone (336) 481-8540

144 Forest Hill Rd
Suite 144And146
Lexington, NC 27295-2008
Phone (336) 481-1750

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 472-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-8800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022NCMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital Inc CurrentSince Mar 25, 2017 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Oct 1, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Forsyth Memorial Hospital Inc Cardiovascular Disease CurrentSince Oct 1, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 20, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Nov 18, 2022 Accepting new patients
The Presbyterian Hospital CurrentSince Jul 20, 2023 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Jul 20, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Mar 25, 2017 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Oct 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (704) 384-5043

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

216 Moore Rd
King, NC 27021
Phone (336) 768-1270

144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730

208 W Center St
Ste B
Lexington, NC 27292
Phone (336) 249-8878

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

1381 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-0100

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Organizations & group practices 16

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.

View all 16

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336111301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-472-1191",
            "fax_number": "336-472-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 OLD LEXINGTON RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603428",
            "telephone_number": "336-472-1191",
            "fax_number": "336-172-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAJA",
        "first_name": "USMAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200101078",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "200101078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89130K8",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ukhawaja18875@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "211 Old Lexington Rd",
            "city": "Thomasville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273603428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.