Individual provider Active NPI

Khurshid Yousuf, M.D.

  • Gastroenterology Physician
  • Madison, AL
National Provider Identifier
1649206095
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
18192 Issued in AL
Practice address
460 Lanier Rd Ste 201
Madison, AL 35758-2632
Phone
(256) 533-6488
Fax
(256) 428-0468
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 18192 AL Primary

Addresses

Primary practice location

460 Lanier Rd Ste 201
Madison, AL 35758-2632

Mailing address

PO Box 2324
Birmingham, AL 35201-2324

Other practice location 1

2007 Gallatin St SW
Huntsville, AL 35801-4561
Phone (256) 533-6488

Other practice location 2

119 Longwood Dr SW
Huntsville, AL 35801-4522
Phone (256) 533-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20051115000243 AL Practitioner - Gastroenterology 8921088238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Colon and Digestive Disease P CGroup PAC ID 5193781813, 15 clinicians

Practice addresses (Care Compare)

119 Longwood Dr SW
Huntsville, AL 35801-4522
Phone (256) 533-6488

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.82 of 100Reported as group
Quality
71.11
Promoting interoperability
0
Improvement activities
40
Cost
74.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy291
Upper gastrointestinal (GI) endoscopy for acid reflux387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18192ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Colon and Digestive Disease P C Gastroenterology CurrentSince Dec 1, 2020 Accepting new patients
Huntsville Endoscopy Center Inc CurrentSince Dec 1, 2020 Accepting new patients
Heca, LLC PastSince Dec 1, 2020 Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

119 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 533-6488

2007 Gallatin St SW
Huntsville, AL 35801
Phone (256) 519-2919

460 Lanier Rd
Ste 201
Madison, AL 35758
Phone (256) 519-2890

8263 Madison Blvd
Ste E
Madison, AL 35758
Phone (256) 533-6488

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEHCA
  • Direct secure messaging: khurshid.yousuf@dga.direct.systemedx.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1649206095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2324",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352012324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LANIER RD STE 201",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582632",
            "telephone_number": "256-533-6488",
            "fax_number": "256-428-0468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2007 Gallatin St SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014561",
            "country_code": "US",
            "telephone_number": "256-533-6488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Longwood Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358014522",
            "country_code": "US",
            "telephone_number": "256-533-6488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSUF",
        "first_name": "KHURSHID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-02-12",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "18192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.