Individual provider Active NPI

Gurneet Khangura, DPM

  • Podiatrist
  • Boston, MA
National Provider Identifier
1689026023
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
59.000611 Issued in OH
Practice address
55 Fruit St
Yawkey 3F
Boston, MA 02114-2621
Phone
(617) 726-3487
Fax
(617) 724-3384
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 59.000611 OH Primary

Addresses

Primary practice location

55 Fruit St
Yawkey 3F
Boston, MA 02114-2621

Mailing address

55 Fruit St
Yawkey 3F
Boston, MA 02114-2621
Phone (617) 726-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200827003821 MA Practitioner - Podiatry 2365869906 Reassigns benefits to 2 organizations
I20241107002290 NH Practitioner - Podiatry 2365869906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weeks Medical CenterGroup PAC ID 2769461284, 71 clinicians

Practice addresses (Care Compare)

173 Middle St
Lancaster, NH 03584-3508
Phone (603) 788-4911

8 Clover LN
Whitefield, NH 03598-3343
Phone (603) 837-9005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0392NHMDAddiction (Substance Use Disorder) Counselor
2498MAMDVeterinarian
59.000611OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Jul 1, 2020 Accepting new patients
Weeks Medical Center CurrentSince Aug 29, 2024 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2020 Accepting new patients
Androscoggin Valley Hospital Inc Past Accepting new patients
Weeks Medical Center Foot & Ankle Surgery Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
#3F
Boston, MA 02114
Phone (617) 724-9338

55 Fruit St
Boston, MA 02114

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

173 Middle St
#A
Lancaster, NH 03584
Phone (603) 788-5310

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

Organizations & group practices 7

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 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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1689026023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "YAWKEY 3F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-3487",
            "fax_number": "617-724-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "YAWKEY 3F",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-3487",
            "fax_number": "617-724-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANGURA",
        "first_name": "GURNEET",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "59.000611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.