Individual provider Active NPI

Khurram Nazir, M.D.

  • Neurology Physician
  • Panama City, FL
National Provider Identifier
1619261252
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01083109A Issued in IN
Practice address
2202 State Ave Ste 201
Panama City, FL 32405-4582
Phone
(850) 785-0029
NPI assigned
May 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 122657 FL
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 01083109A IN Primary

Addresses

Primary practice location

2202 State Ave Ste 201
Panama City, FL 32405-4582

Mailing address

2202 State Ave
Suite 201
Panama City, FL 32405-7601
Phone (850) 785-0029

Other practice location 1

2400 17th St
Columbus, IN 47201-5351
Phone (812) 375-3203

Other identifiers 2

IdentifierTypeStateIssuer
1881909406OtherNYNPI
015044500MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knazir48500@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WI, ME, IN, CA, MI, MO, OK, GA9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20150805007104 FL Practitioner - Neurology 1951615871 Reassigns benefits to 5 organizations
I20190729001665 WI Practitioner - Neurology 1951615871 Reassigns benefits to 8 organizations
I20221201002985 ME Practitioner - Neurology 1951615871 Reassigns benefits to 1 organization
I20230623002334 IN Practitioner - Neurology 1951615871 Reassigns benefits to 3 organizations
I20230830002503 CA Practitioner - Neurology 1951615871 Reassigns benefits to 2 organizations
I20231227002776 MI Practitioner - Neurology 1951615871
I20240215000879 MO Practitioner - Neurology 1951615871 Reassigns benefits to 1 organization
I20250728003660 OK Practitioner - Neurology 1951615871 Reassigns benefits to 1 organization
I20251210002037 GA Practitioner - Neurology 1951615871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians
Brain and Spine LLCGroup PAC ID 3779566013, 7 clinicians
Critical Care Medical Management Associates PLLCGroup PAC ID 4880844521, 30 clinicians
Stem Medical Group Michigan PCGroup PAC ID 9234586009, 3 clinicians
St Joseph HospitalGroup PAC ID 6406766336, 197 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

2202 State Ave
Suite 201
Panama City, FL 32405-4582
Phone (850) 785-0029

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

3031 Osprey Cir
Panama City, FL 32405-0200
Phone (845) 702-2711

360 Broadway
Bangor, ME 04401-3979

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122657FLMDNeurology Physician
01083109AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Sep 18, 2019 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Veeone Medical Group II Professional Corporation Neurology CurrentSince Nov 8, 2022 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Neurology CurrentSince Sep 17, 2019 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Critical Care Medical Management Associates PLLC CurrentSince Jul 1, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Nov 20, 2025 Accepting new patients
Warren Clinic Inc CurrentSince Jul 10, 2025 Accepting new patients
St. Joseph Hospital CurrentSince Nov 1, 2022 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc CurrentSince Sep 18, 2019 Accepting new patients
Community Care Network Inc Neurology CurrentSince Jul 1, 2023 Accepting new patients
Missouri Delta Medical Center CurrentSince Dec 25, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Missouri Delta Medical Center Neurology CurrentSince Dec 25, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Aug 7, 2023 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jun 28, 2019 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jun 28, 2019 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Aug 7, 2023 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Veeone Medical Group PA Neurology CurrentSince Oct 1, 2022 Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 Accepting new patients

Locations (25 of 31)

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571

495 Brickell Ave
Miami, FL 33131
Phone (305) 639-0537

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

29980 Network Pl
Chicago, IL 60673

1655 N Gladstone Ave
Ste A
Columbus, IN 47201
Phone (812) 376-3100

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

6900 N Port Washington Rd
Glendale, WI 53217
Phone (414) 270-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3805B Spring St
Ste 320
Mount Pleasant, WI 53405
Phone (262) 637-6106

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

Interoperability endpoints

  • Direct secure messaging: knazirmd349675@carlehiedirect.net
  • Direct secure messaging: knazir48500@edirect.crh.org
  • Direct secure messaging: khurramnazir@brainspine.allscriptsdirect.net

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 6

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1619261252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE",
            "address_2": "SUITE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057601",
            "telephone_number": "850-785-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 STATE AVE STE 201",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054582",
            "telephone_number": "850-785-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 17th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015351",
            "country_code": "US",
            "telephone_number": "812-375-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZIR",
        "first_name": "KHURRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "122657",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01083109A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881909406",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015044500",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knazir48500@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.