Active NPI
Khalid Muneer Husain, MD
- Internal Medicine Physician
- Springfield, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042.0012949
- Practice address
- 100 River St
Springfield, VT 05156-2930 - Phone
- (802) 886-8900
- NPI assigned
- Oct 17, 2005
- Last updated
- Feb 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042.0012949 | VT | Primary |
Addresses
Primary practice location
100 River St
Springfield, VT 05156-2930
Mailing address
570 Quechee Rd
Hartland, VT 05048-9555
Phone (207) 436-1488
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060872 | Other | ANTHEM | |
| AA26525 | Other | HARVARD PILGRIM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0034529 | MD | MD | Clinical Medical Laboratory |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Medical Care Systems Inc | Current | Accepting new patients | |
| Springfield Medical Care Systems Inc. | Internal Medicine | Current | Accepting new patients |
| Springfield Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Shah Associates MD LLC | Past | Accepting new patients | |
| Shah Associates MD LLC | Internal Medicine | Past | Accepting new patients |
Locations
1 Hospital Ct
Bellows Falls, VT 05101
Phone (802) 463-1292
100 River St
Springfield, VT 05156
Phone (802) 886-8900
25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593
252 River St
Springfield, VT 05156
Phone (802) 885-3525
Interoperability endpoints
- https://api.platform.athenahealth.com/12948/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/21546/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
dba Springfield Specialty Physicians
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- NPI 1780657783
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
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- NPI 1730336843
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Springfield, VT
- NPI 1457979130
-
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- NPI 1629275557
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1912002452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1558350132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 QUECHEE RD",
"city": "HARTLAND",
"state": "VT",
"postal_code": "050489555",
"telephone_number": "207-436-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RIVER ST",
"city": "SPRINGFIELD",
"state": "VT",
"postal_code": "051562930",
"telephone_number": "802-886-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSAIN",
"first_name": "KHALID",
"middle_name": "MUNEER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VT",
"license": "042.0012949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "060872",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA26525",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.