Individual provider Active NPI

Faraz Khursheed, M.D.

  • Neurology Physician
  • Hollywood, FL
National Provider Identifier
1376705681
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME122905 Issued in FL
Practice address
10000 Stirling Rd Ste 1
Hollywood, FL 33024-8067
Phone
(954) 748-7474
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD.207042 LA
Interventional Pain Medicine Physician 208VP0014X ME122905 FL
Neurology Physician 2084N0400X ME122905 FL Primary

Addresses

Primary practice location

10000 Stirling Rd Ste 1
Hollywood, FL 33024-8067

Mailing address

10000 Stirling Rd Ste 1
Hollywood, FL 33024-8067
Phone (954) 748-7474

Other identifiers 2

IdentifierTypeStateIssuer
2150707MedicaidLA
01872853MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160725002246 FL Practitioner - NeurologyPractitioner - Interventional Pain Management 0648584003 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurological Testing Centers of America IncGroup PAC ID 3870488810, 4 clinicians

Practice addresses (Care Compare)

10000 Stirling Rd
Hollywood, FL 33024-8067
Phone (954) 748-7474

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207042LAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Partners, LLC Interventional Pain Medicine CurrentSince Jul 11, 2016 Accepting new patients
M Partners, LLC Interventional Pain Medicine CurrentSince Jul 11, 2016 Accepting new patients
Brainworks Neuro Solutions LLC Neurology CurrentSince May 28, 2025 Accepting new patients
Neurological Testing Centers of America Inc. Neurology CurrentSince Jan 1, 2022 Accepting new patients
South Florida Rehab Solutions LLC CurrentSince May 20, 2024 Accepting new patients
Legacy Physiatry Group LLC CurrentSince Apr 18, 2017 Accepting new patients

Locations

9400 Bonita Beach Rd SE
Ste 201
Bonita Springs, FL 34135
Phone (239) 348-4060

5493 Wiles Rd
Ste 106
Coconut Creek, FL 33073
Phone (321) 214-4530

10394 W Sample Rd
#201A
Coral Springs, FL 33065
Phone (630) 456-1404

10000 Stirling Rd
Ste 1
Hollywood, FL 33024
Phone (954) 748-7474

15275 Collier Blvd
#201291
Naples, FL 34119

1164 E Oakland Park Blvd
Ste 201
Oakland Park, FL 33334
Phone (954) 628-3350

850 Central Pkwy E
Ste 275
Plano, TX 75074

Interoperability endpoints

  • Direct secure messaging: fkhursheed90778@direct.ochsner.org

Organizations & group practices 6

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1376705681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 STIRLING RD STE 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248067",
            "telephone_number": "954-748-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 STIRLING RD STE 1",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248067",
            "telephone_number": "954-748-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURSHEED",
        "first_name": "FARAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "MD.207042",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME122905",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME122905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2150707",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01872853",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.