Khuram A. Sial, M. D.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A90421 Issued in CA

Practice address

1810 Fullerton Ave
Suite 104
Corona, CA 92881-3103

Phone

(951) 734-7246

Fax

(877) 694-3331

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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 CA

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

Pain ManagementAlso: Physical Medicine and Rehabilitation

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Spine PCGroup PAC ID 6103074125, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drsial@ksm-ca.direct.office.nextgen.com
• Direct secure messaging: ksial182140@direct.llu.edu
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• American Spine, PC

  • Physical Medicine & Rehabilitation Physician
  • Murrieta, CA
  • NPI 1609134501
  Medicare reassignment Care Compare group Authorized official
• Beverly Hills Specialty Care Surgery

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1275911232
  NPD Authorized official
• Circle City Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Corona, CA
  • NPI 1548897697
  NPD Authorized official
• Corona Pain Management Center

  dba Corona Specialty Care Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Corona, CA
  • NPI 1760740674
  NPD (past) Authorized official
• American Spine

  • Medical Physician Assistant
  • Lake Elsinore, CA
  • NPI 1295107407
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1508825381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-734-7246",
            "fax_number": "877-694-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAL",
        "first_name": "KHURAM",
        "middle_name": "A.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A90421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A90421",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shri Hari RX Inc (Corona Valley Pharmacy)
• Shri Hari RX Inc (Corona Valley Pharmacy)
• Elizabeth Shtiwi
• Richard Jeffrey Shuldiner, O.D.
• Karja L Shurland
• Nahid Siavoshi, NP
• Krupa Elizabeth Siddhartha, CCC-SLP
• Hassan Siddiqui
• Harsheen Sidhu, DDS
• Sadat Jafer Sidky, RPH

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Corona, CA
• Providers in Corona, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.