Individual provider Active NPI

Khalid Stanazai, MD

  • Neurology Physician
  • Concord, NC
National Provider Identifier
1437592672
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2017-01055 Issued in NC
Practice address
315 Medical Park Dr
Ste 202
Concord, NC 28025-1902
Phone
(704) 403-1911
NPI assigned
Apr 8, 2013
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101271680 VA
Neurology Physician 2084N0400X 2017-01055 NC Primary

Addresses

Primary practice location

315 Medical Park Dr
Ste 202
Concord, NC 28025-1902

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

101 E W T Harris Blvd
Ste 5202
Charlotte, NC 28262-3485
Phone (704) 863-8700

Other practice location 2

441 McAlister Rd
Ste 2200
Lincolnton, NC 28092-4126
Phone (980) 212-6652

Other practice location 3

600 Hospital Dr
Ste A
Monroe, NC 28112-6000
Phone (800) 230-1721

Other practice location 4

9625 Northcross Center Ct
Ste 102
Huntersville, NC 28078-7348
Phone (704) 801-1260

Other practice location 5

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kstanazai239265@CarolinasHealthcareSystem.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170913000533 NC Practitioner - Neurology 9537461280 Reassigns benefits to 3 organizations
I20231020002525 VA Practitioner - Neurology 9537461280 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 Hospital Ctr Blvd
Suite 329
Stafford, VA 22554-6202
Phone (540) 657-6155

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 396-5297

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Neurology CurrentSince Jul 17, 2017 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Mary Washington Healthcare Physicians Family Medicine CurrentSince Jun 20, 2024 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 22, 2022 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Sep 22, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 22, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Medical Center CurrentSince Mar 22, 2022 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 20, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 17, 2017 Accepting new patients
Carolinas Medical Center CurrentSince Mar 22, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Neurology PastSince Nov 1, 2019 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

101 E Wt Harris Blvd
Ste 5202
Charlotte, NC 28262
Phone (704) 372-5180

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1085 NE Gateway Ct NE
#200A
Concord, NC 28025
Phone (704) 403-8650

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911

9625 Northcross Center Ct
Ste 102
Huntersville, NC 28078
Phone (704) 403-2860

441 McAlister Rd
Ste 2200
Lincolnton, NC 28092
Phone (980) 212-6230

600 Hospital Dr
Ste A
Monroe, NC 28112
Phone (980) 993-3100

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

220 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 899-2900

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 374-3290

Interoperability endpoints

  • Direct secure messaging: kstanazai120695@marywashingtonhealthcare.direct-ci.com
  • Direct secure messaging: kstanazai239265@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: kstanazai588932@direct.healthsystem.virginia.edu

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1437592672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MEDICAL PARK DR",
            "address_2": "STE 202",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251902",
            "telephone_number": "704-403-1911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E W T Harris Blvd",
            "address_2": "Ste 5202",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282623485",
            "country_code": "US",
            "telephone_number": "704-863-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 McAlister Rd",
            "address_2": "Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924126",
            "country_code": "US",
            "telephone_number": "980-212-6652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Hospital Dr",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281126000",
            "country_code": "US",
            "telephone_number": "800-230-1721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9625 Northcross Center Ct",
            "address_2": "STE 102",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787348",
            "country_code": "US",
            "telephone_number": "704-801-1260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104418",
            "country_code": "US",
            "telephone_number": "703-369-8580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANAZAI",
        "first_name": "KHALID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101271680",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2017-01055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kstanazai239265@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "101 E W T Harris Blvd",
            "address_2": "Ste 5202",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282623485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.