Active NPI
Khawar Khurshid, M.D
- Infectious Disease Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- R4861
- Practice address
- 2401 S 31St St
Temple, TX 76508-3039 - Phone
- (254) 724-2111
- NPI assigned
- Sep 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 269080 | NY | |
| Infectious Disease Physician | 207RI0200X | MD.206317 | LA | |
| Infectious Disease Physician | 207RI0200X | R4861 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-3039
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Other practice location 1
4105 Highway 121 Ste 604
Bedford, TX 76021-3039
Phone (682) 738-3835
Other practice location 2
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-6670
Other practice location 3
4105 Highway 121 Ste 604
Bedford, TX 76021-3039
Phone (682) 738-3835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R4861 | Other | TX | MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkhurshid1151144@direct.sw.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
405 Stella St
Suite 1
West Monroe, LA 71291-2969
Phone (318) 325-6200
Hospital & facility affiliations
- Fmol Health St Francis
- Glenwood Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269080 | NY | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven R. Crider, M.D., Apmc | Infectious Disease | Current | Accepting new patients |
| Khawar Khurshid M D a Professional Medical Corporation | Infectious Disease | Current | Accepting new patients |
| St Francis Medical Center, Inc | Past | Accepting new patients |
Locations
323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600
2503 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-7726
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000
254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
405 Stella St
Ste A
West Monroe, LA 71291
Phone (318) 355-8176
405 Stella St
Ste 1
West Monroe, LA 71291
Phone (318) 325-6200
Interoperability endpoints
- kkhurshid1151144@direct.sw.org
- kkhurshid7817@direct.casso.us.com
- kkhurshid@yourcarecommunity.org
- khawar.khurshid.1@20864.direct.athenahealth.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.
-
- Infectious Disease Physician
- Sterlington, LA
- NPI 1902283039
-
- Infectious Disease Physician
- West Monroe, LA
- NPI 1396914206
-
- Rehabilitation Hospital Unit
- Monroe, LA
- NPI 1013906239
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Monroe, LA
- NPI 1548083421
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677024000000",
"number": "1679721310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "800-994-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765083039",
"telephone_number": "254-724-2111"
}
],
"practiceLocations": [
{
"address_1": "4105 Highway 121 Ste 604",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "TX",
"postal_code": "760213039",
"country_code": "US",
"telephone_number": "682-738-3835",
"fax_number": "682-738-3834",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Jackson St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712017407",
"country_code": "US",
"telephone_number": "318-966-6670",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4105 Highway 121 Ste 604",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "TX",
"postal_code": "760213039",
"country_code": "US",
"telephone_number": "682-738-3835",
"fax_number": "682-738-3834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHURSHID",
"first_name": "KHAWAR",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-07",
"last_updated": "2023-02-22",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "269080",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "LA",
"license": "MD.206317",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "R4861",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "R4861",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kkhurshid1151144@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 S 31st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765083039",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.