Active NPI
Khatija Zahiruddin, DO
- Emergency Medicine Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS019413
- Practice address
- 1001 S George St
York, PA 17403 - Phone
- (717) 851-1405
- Fax
- (717) 851-6969
- NPI assigned
- Jun 24, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS019413 | PA | Primary |
| Emergency Medicine Physician | 207P00000X | 257448 | MA |
Addresses
Primary practice location
1001 S George St
York, PA 17403
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405
Other practice location 1
1001 S George St
York, PA 17403
Phone (717) 851-1405
Other practice location 2
55 Lake Ave N
Emergency Medicine
Worcester, MA 01655-0002
Phone (508) 421-1400
Other practice location 3
1001 S George St
York, PA 17403
Phone (717) 851-1405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110102494A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
Phone (717) 851-2345
Hospital & facility affiliations
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257448 | MA | MD | Emergency Medicine Physician |
| OS019413 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Hospital | Current | Accepting new patients | |
| York Hospital | Current | Accepting new patients | |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334
1001 S George St
York, PA 17403
Phone (717) 812-7687
Interoperability endpoints
- kzahiruddin140152@wellspan.direct-ci.com
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- York, PA
- NPI 1114885480
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544572800000",
"number": "1447546759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "17403",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
}
],
"practiceLocations": [
{
"address_1": "1001 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "17403",
"country_code": "US",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_2": "Emergency Medicine",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-421-1400",
"fax_number": "508-421-1490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "17403",
"country_code": "US",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAHIRUDDIN",
"first_name": "KHATIJA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2018-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS019413",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "257448",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110102494A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.
- 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.