Shahid Munif Khokar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101230757 Issued in VA

Practice address

4 Westwood Medical Park
Bluefield, VA 24605-2000

Phone

(276) 322-2450

Fax

(276) 322-2621

NPI assigned

Oct 18, 2005

Last updated

Sep 9, 2011By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Locations

Interoperability endpoints

• Direct secure messaging: skhokar@yourcarecommunity.org

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.

• Princeton Community Hospital Assn Inc.

  dba Mercer Medical Group

  • Urology Physician
  • Princeton, WV
  • NPI 1093917643
  Medicare reassignment NPD
• Princeton Community Hospital Assn., Inc

  dba Bluefield Internal Medicine

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1235446485
  NPD
• Bluefield Pulmonary Consultants, Inc.

  • Pulmonary Disease Physician
  • Bluefield, VA
  • NPI 1689719403
  NPD (past)
• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1508855958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246050708",
            "telephone_number": "276-322-2450",
            "fax_number": "276-322-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WESTWOOD MEDICAL PARK",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052000",
            "telephone_number": "276-322-2450",
            "fax_number": "276-322-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOKAR",
        "first_name": "SHAHID",
        "middle_name": "MUNIF",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101230757",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "20449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002345000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006738711",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla McCroskey Johnson
• K VA T Food Stores Inc (Food City Pharmacy)
• Joshua Lee Keene, D.C.
• Katherine Marie Keener, MACCC-SLP
• Candice Keim, CCC-SLP
• Carolyn Lundy King, NP
• Dennis Kolokolo, MD
• Betty J Kuppusami, CNOR RNFA
• Muthusami Kuppusami, M.D.
• Mark Lacaria, PHARMD

• Pediatrics Physician in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.