Individual provider Active NPI

Khawar Khurshid, M.D

  • Infectious Disease Physician
  • Temple, TX
National Provider Identifier
1679721310
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
R4861 Issued in TX
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

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R4861OtherTXMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141126000524 LA Practitioner - Internal MedicinePractitioner - Infectious Disease 7618299785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Khawar Khurshid M D a Professional Medical CorporationGroup PAC ID 0042531055, 2 clinicians

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 Hospital, Monroe, LA, CCN 190125
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269080NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven R. Crider, M.D., Apmc Infectious Disease CurrentSince Jul 1, 2015 Accepting new patients
Khawar Khurshid M D a Professional Medical Corporation Infectious Disease CurrentSince Jul 1, 2015 Accepting new patients
St Francis Medical Center, Inc PastSince Oct 7, 2014 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

  • Direct secure messaging: kkhurshid1151144@direct.sw.org
  • Direct secure messaging: kkhurshid7817@direct.casso.us.com
  • Direct secure messaging: kkhurshid@yourcarecommunity.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.