Individual provider Active NPI

Sherry Khurana, MD

  • Family Medicine Physician
  • Evansdale, IA
National Provider Identifier
1669763181
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-42296 Issued in IA
Practice address
3701 Lafayette Rd
Evansdale, IA 50707-1129
Phone
(319) 274-7060
Fax
(319) 233-1156
NPI assigned
May 2, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-42296 IA Primary

Addresses

Primary practice location

3701 Lafayette Rd
Evansdale, IA 50707-1129

Mailing address

3701 Lafayette Rd
Evansdale, IA 50707-1129
Phone (319) 274-7060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20150123000783 IA Practitioner - Family Practice 8224276514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3701 Lafayette Rd
Evansdale, IA 50707-1129
Phone (319) 274-7060

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-42296IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jan 6, 2015 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

3701 Lafayette Rd
Waterloo, IA 50707
Phone (319) 274-7060

Interoperability endpoints

  • Direct secure messaging: skhurana235756@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unitypoint Health - Family Medicine Clinic - Tama/ToledoToledo, IA, CCN 168581 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Apr 13, 2017
Apr 13, 2017
Unitypoint Health - Marshalltown - Family Medicine ClinicMarshalltown, IA, CCN 168578 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Apr 13, 2017
Apr 13, 2017
Unitypoint Health - Family Medicine Clinic - State CenterState Center, IA, CCN 168580 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Apr 13, 2017
Apr 13, 2017
Unitypoint Health-Family Medicine Clinic-ConradConrad, IA, CCN 168579 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Apr 13, 2017
Apr 13, 2017
Unitypoint Clinic - Family Medicine - ParkersburgParkersburg, IA, CCN 168635 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Apr 13, 2017
Apr 13, 2017
Unitypoint Clinic - Family Medicine - Grundy CenterGrundy Center, IA, CCN 168634 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Apr 13, 2017
Apr 13, 2017
Unitypoint Clinic - Family Medicine - Rohlf MemorialWaverly, IA, CCN 168650 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Apr 13, 2017
Apr 13, 2017
Unitypoint Clinic - Family Medicine - DenverDenver, IA, CCN 168649 Rural health clinic Contracted Managing Employee
Operational/Managerial Control
Apr 13, 2017
Apr 13, 2017

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669763181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 LAFAYETTE RD",
            "city": "EVANSDALE",
            "state": "IA",
            "postal_code": "507071129",
            "telephone_number": "319-274-7060",
            "fax_number": "319-233-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LAFAYETTE RD",
            "city": "EVANSDALE",
            "state": "IA",
            "postal_code": "507071129",
            "telephone_number": "319-274-7060",
            "fax_number": "319-233-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "SHERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-42296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansdale, IA

Sources for this page

Verify at the official NPI Registry.