Active NPI
Munawwer Khurshid, M.D.
- Neurology Physician
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- K4930
- Practice address
- 1018 N Mound St Ste 201
Nacogdoches, TX 75961-4434 - Phone
- (936) 564-3538
- Fax
- (936) 564-3546
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K4930 | TX | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | K4930 | TX | |
| Neurology Physician | 2084N0400X | K4930 | TX | Primary |
Addresses
Primary practice location
1018 N Mound St Ste 201
Nacogdoches, TX 75961-4434
Mailing address
1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 568-8425
Other practice location 1
910 E Houston St
Suite 330
Tyler, TX 75702-8369
Phone (903) 525-7995
Other practice location 2
1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2129
Other practice location 3
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488
Other practice location 4
701 E Marshall Ave Ste 400
Longview, TX 75601-5595
Phone (903) 315-2714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050811000989 | TX | Practitioner - Neurology | 3274562905 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1018 N Mound St
Suite 101
Nacogdoches, TX 75961-4434
Phone (936) 564-3538
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
700 E Marshall Ave
Christus Trinity Clinic
Longview, TX 75601-5580
Phone (903) 315-1488
Hospital & facility affiliations
- Vitalcaring Group
- Nacogdoches Memorial Hospital
- Christus Good Shepherd Medical Center
- CHI St Lukes Health Memorial Lufkin
- CHI St Lukes Health Memorial San Augustine
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Lion Star Nacogdoches Hospital, LLC | Current | Accepting new patients | |
| Lion Star Nacogdoches Hospital, LLC | Internal Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Internal Medicine | Past | Accepting new patients |
Locations
1276 S Peachtree St
Jasper, TX 75951
Phone (409) 384-5701
701 E Marshall Ave
Ste 400
Longview, TX 75601
Phone (903) 315-1696
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
1018 N Mound St
Ste 205
Nacogdoches, TX 75961
Phone (936) 560-0707
1002 N Mound St
Nacogdoches, TX 75961
Phone (936) 560-3800
1023 N Mound St
Ste B
Nacogdoches, TX 75961
Phone (936) 559-0800
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
1018 N Mound St
Ste 201
Nacogdoches, TX 75961
Phone (936) 560-2763
1108 South St
Nacogdoches, TX 75964
Phone (936) 560-3097
1018 N Mound St
Ste 101
Nacogdoches, TX 75961
Phone (365) 604-4259
910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- munawwer.khurshid@ncfg.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Internal Medicine, TX
-
- Family Medicine Physician
- Nacogdoches, TX
- NPI 1316616550
Internal Medicine, TX
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Rehabilitation Hospital Unit
- Nacogdoches, TX
- NPI 1043880123
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
Hospital
-
- Rural Acute Care Hospital
- San Augustine, TX
- NPI 1578547345
Hospital
-
- Rural Acute Care Hospital
- Nacogdoches, TX
- NPI 1801831748
Hospital
-
- Home Health Agency
- Henderson, TX
- NPI 1871632513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694476800000",
"number": "1699733378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 N MOUND ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614027",
"telephone_number": "936-568-8425",
"fax_number": "806-212-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 N MOUND ST STE 201",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614434",
"telephone_number": "936-564-3538",
"fax_number": "936-564-3546"
}
],
"practiceLocations": [
{
"address_1": "910 E Houston St",
"address_2": "Suite 330",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028369",
"country_code": "US",
"telephone_number": "903-525-7995",
"fax_number": "903-525-1750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Wallace Blvd",
"address_purpose": "LOCATION",
"city": "Amarillo",
"state": "TX",
"postal_code": "791061799",
"country_code": "US",
"telephone_number": "806-212-2129",
"fax_number": "806-212-2246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 E Marshall Ave",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015580",
"country_code": "US",
"telephone_number": "903-315-1488",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 E Marshall Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756015595",
"country_code": "US",
"telephone_number": "903-315-2714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHURSHID",
"first_name": "MUNAWWER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2023-09-12",
"certification_date": "2023-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K4930",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "TX",
"license": "K4930",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "K4930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.