Individual provider Active NPI

Muhammad Siddique Khurram, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Detroit, MI
National Provider Identifier
1720490667
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
T3982 Issued in TX
Practice address
22201 Moross Rd
Department of Pathology
Detroit, MI 48236-2169
Phone
(313) 343-3133
Fax
(313) 343-8318
NPI assigned
May 27, 2014
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X T3982 TX Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301102456 MI

Addresses

Primary practice location

22201 Moross Rd
Department of Pathology
Detroit, MI 48236-2169

Mailing address

PO Box 746559
Atlanta, GA 30374-6559
Phone (313) 343-3133

Other practice location 1

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, TX, OH4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190903002974 IL Practitioner - Pathology 2466781240 Reassigns benefits to 1 organization
I20200205002038 NC Practitioner - Pathology 2466781240 Reassigns benefits to 2 organizations
I20211229000343 TX Practitioner - Pathology 2466781240 Reassigns benefits to 3 organizations
I20260429002033 OH Practitioner - Pathology 2466781240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8527956176, 47 clinicians
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians
Gulf Coast Pathology Program PLLCGroup PAC ID 3476956194, 38 clinicians

Practice addresses (Care Compare)

1317 Lake Pointe Pkwy
Sugar Land, TX 77478-3997
Phone (713) 481-3500

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-6565

21214 Northwest Fwy
Cypress, TX 77429-2105
Phone (281) 440-2829

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301102456MIMDAnatomic Pathology & Clinical Pathology Physician
T3982TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westwater Diagnostics PLLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Rockford Health Physicians CurrentSince Jul 21, 2019 Accepting new patients
Baylor College of Medicine Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince May 28, 2022 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2024 Accepting new patients
Ecu Physicians Diagnostic Pathology Services Anatomic Pathology & Clinical Pathology CurrentSince Dec 28, 2019 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 2, 2026 Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology CurrentSince Jan 10, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Mar 2, 2026 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Gulf Coast Pathology Program PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1115 Avenue G
Bay City, TX 77414
Phone (979) 245-6383

100 E Alton Gloor Blvd
Ste A
Brownsville, TX 78526
Phone (956) 350-7000

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

481 Ih 45 S
Ste 7
Huntsville, TX 77340
Phone (409) 291-9704

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1720490667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746559",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746559",
            "telephone_number": "313-343-3133",
            "fax_number": "313-343-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-3133",
            "fax_number": "313-343-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Pease St",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785508307",
            "country_code": "US",
            "telephone_number": "956-389-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHURRAM",
        "first_name": "MUHAMMAD",
        "middle_name": "SIDDIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "T3982",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301102456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.