Khalid N Soherwardy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19156 Issued in SC

Practice address

317 N Logan St
Gaffney, SC 29341-2353

Phone

(864) 489-2588

Fax

(864) 489-2589

NPI assigned

Nov 7, 2005

Sex

Male

Sole proprietor

Yes

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 SC

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

Family PracticeAlso: Emergency Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Gaffney, SC, CCN 427117
• Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
• Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Piedmont Medical of SC LLC

  • Family Medicine Physician
  • Gaffney, SC
  • NPI 1538415799
  NPD (past) Authorized official
• SC Cherokee Emergency Physicians

  • Emergency Medicine Physician
  • Gaffney, SC
  • NPI 1689836751
  NPD (past)
• Upstate Emergency Service

  • Emergency Medicine Physician
  • Gaffney, SC
  • NPI 1902976426
  NPD (past)

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

• Cherokee Medical Center

  • General Acute Care Hospital
  • Gaffney, SC
  • NPI 1205307378
  Care Compare affiliation
• Spartanburg Medical Center

  • Psychiatric Hospital Unit
  • Spartanburg, SC
  • NPI 1033681630
  Care Compare affiliation
• Spartanburg Medical Center

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1326373697

  Hospital

  Care Compare affiliation
• Spartanburg Medical Center

  • General Acute Care Hospital
  • Spartanburg, SC
  • NPI 1609807122
  Care Compare affiliation
• Spartanburg Medical Center

  • Rehabilitation Hospital Unit
  • Spartanburg, SC
  • NPI 1942772546
  Care Compare affiliation
• Total Care Home Health of North Carolina, LLC

  • Home Health Agency
  • Gaffney, SC
  • NPI 1891724555
  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1386625564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412353",
            "telephone_number": "864-489-2588",
            "fax_number": "864-489-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N LOGAN ST",
            "city": "GAFFNEY",
            "state": "SC",
            "postal_code": "293412353",
            "telephone_number": "864-489-2588",
            "fax_number": "864-489-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHERWARDY",
        "first_name": "KHALID",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "19156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191562",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candy Smith, M.A.CCC-SLP
• Gerrish Alan Smith, LPC
• Gloria Smith
• Jasmine Danielle Smith
• Margaret E Smith, PHARMD
• South Carolina Back Pain & Wellness Center
• South Carolina CVS Pharmacy LLC
• South Carolina Department of Mental Health Accounting Office
• South Carolina Dept of Mental Health Accounting Office
• South Carolina Em-I Medical Services

• Family Medicine Physician in Gaffney, SC
• Providers in Gaffney, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.