Individual provider Active NPI

Nauman Khurshid, MD

  • Maternal & Fetal Medicine Physician
  • Madison, WI
National Provider Identifier
1568635589
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
35.091410 Issued in OH
Practice address
202 S Park St
Madison, WI 53715-1507
Phone
(608) 417-6667
Fax
(608) 417-6364
NPI assigned
Apr 10, 2008
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 57043 WI
Maternal & Fetal Medicine Physician 207VM0101X 57043 WI
Maternal & Fetal Medicine Physician 207VM0101X 35.091410 OH Primary

Addresses

Primary practice location

202 S Park St
Madison, WI 53715-1507

Mailing address

1 Seagate # 800
Toledo, OH 43604-1558
Phone (419) 291-3604

Other practice location 1

2142 N Cove Blvd Fl 1
Toledo, OH 43606-3896
Phone (419) 291-3604

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkhurshid12169@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20090213000150 OH Practitioner - Obstetrics/Gynecology 8820153570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Toledo HospitalGroup PAC ID 2961309638, 118 clinicians
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

2150 W Central Ave
Toledo, OH 43606-3852
Phone (419) 291-8701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.091410OHMDMaternal & Fetal Medicine Physician
57043WIMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians Obstetrics & Gynecology CurrentSince Sep 1, 2017 Accepting new patients
The Toledo Hospital CurrentSince Dec 7, 2015 Accepting new patients
Promedica Central Physicians CurrentSince Sep 1, 2017 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University of Toledo Physicians LLC Obstetrics & Gynecology Past Accepting new patients

Locations

1620 Brigham Dr
Ste 140
Perrysburg, OH 43551
Phone (419) 893-2455

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2142 N Cove Blvd
Fl 1
Toledo, OH 43606
Phone (419) 291-1111

2150 W Central Ave
Toledo, OH 43606
Phone (419) 291-2200

Interoperability endpoints

  • Direct secure messaging: nkhurshid12169@direct.promedica.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1568635589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE # 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "419-291-3604",
            "fax_number": "419-479-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S PARK ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151507",
            "telephone_number": "608-417-6667",
            "fax_number": "608-417-6364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2142 N Cove Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436063896",
            "country_code": "US",
            "telephone_number": "419-291-3604",
            "fax_number": "419-479-6971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHURSHID",
        "first_name": "NAUMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2023-11-03",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "57043",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WI",
            "license": "57043",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OH",
            "license": "35.091410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkhurshid12169@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.