Subhash C Khullar, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

4301040148 Issued in MI

Practice address

1629 W Big Beaver Rd
Troy, MI 48084-3542

Phone

(586) 274-0123

Fax

(586) 274-1125

NPI assigned

Oct 10, 2005

Last updated

Sep 18, 2018By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hammam Zmily MD PC

  dba Premier Cardiovascular Imaging

  • Cardiovascular Disease Physician
  • Troy, MI
  • NPI 1396122354
  Medicare reassignment
• Khullar MD & Associates PLLC

  • Cardiovascular Disease Physician
  • Sterling HTS, MI
  • NPI 1659497428
  Authorized official Same address or phone
• D Narla MD PC

  • Cardiovascular Disease Physician
  • Sterling Heights, MI
  • NPI 1922025501
  NPD (past)
• Family Practice Care PLLC

  • General Practice Physician
  • Roseville, MI
  • NPI 1306959374
  NPD (past)
• Family Practice Care PLLC

  dba Charwood Medical Group

  • General Practice Physician
  • Warren, MI
  • NPI 1871606822
  NPD (past)
• Internal Medicine Associates of Flint P.C.

  • Specialist
  • Flint, MI
  • NPI 1710980586
  NPD (past)
• Premier Cardiovascular Consultants PC

  • Medical Specialty Clinic/Center
  • Troy, MI
  • NPI 1023492626
  NPD (past)
• Schoenherr Diagnostic Center, PLLC

  • Diagnostic Radiology Physician
  • Warren, MI
  • NPI 1942313044
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1386632875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 S ROCHESTER RD",
            "address_2": "UNIT 70306",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483077914",
            "telephone_number": "586-274-0123",
            "fax_number": "586-274-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843542",
            "telephone_number": "586-274-0123",
            "fax_number": "586-274-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHULLAR",
        "first_name": "SUBHASH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301040148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110500486",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4752166",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kheir Al Zouhayli MD PC
• Prem V Khilanani, MD
• Urmilla Khilanani, MD
• Michael Khoury, M.D.
• Shefali Khullar
• Christopher Khuong, LLP
• Eshaal Khurram
• Darren Kibbey, COTA
• Nicole Kidd, DPT
• Jeffrey Kidder

• Cardiovascular Disease Physician in Troy, MI
• Providers in Troy, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.