Individual provider Active NPI

Gajendra Kumar Khatri, MBBS MD

  • Infectious Disease Physician
  • Murfreesboro, TN
National Provider Identifier
1598727869
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2021-02918 Issued in NC
Practice address
3400 Lebanon Rd
Murfreesboro, TN 37129-1237
Phone
(615) 867-6111
Fax
(615) 867-5766
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00021323 AL
Infectious Disease Physician 207RI0200X 00021323 AL
Infectious Disease Physician 207RI0200X MD0021323 AL
Infectious Disease Physician 207RI0200X 2021-02918 NC Primary

Addresses

Primary practice location

3400 Lebanon Rd
Murfreesboro, TN 37129-1237

Mailing address

150 W Thompson LN
Apt I-103
Murfreesboro, TN 37129-1288
Phone (615) 217-3995

Other practice location 1

2390 Hemby Ln
Greenville, NC 27834-3775
Phone (252) 744-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00021323ALMDInfectious Disease Physician
MD0021323ALMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1598727869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W THOMPSON LN",
            "address_2": "APT I-103",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291288",
            "telephone_number": "615-217-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LEBANON RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291237",
            "telephone_number": "615-867-6111",
            "fax_number": "615-867-5766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 Hemby Ln",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278343775",
            "country_code": "US",
            "telephone_number": "252-744-4500",
            "fax_number": "252-744-5713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "GAJENDRA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MBBS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00021323",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "00021323",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "AL",
            "license": "MD0021323",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "2021-02918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.