NPIMap

Individual provider Active NPI

Syed Ghazzal Khurshid, MD

  • Internal Medicine Physician
  • Orange City, FL
National Provider Identifier
1730147455
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME93702 Issued in FL
Practice address
975 Town Center Dr
Suite 300
Orange City, FL 32763-8269
Phone
(386) 775-1086
Fax
(386) 775-8990
NPI assigned
May 2, 2006
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME93702 FL Primary

Addresses

Primary practice location

975 Town Center Dr
Suite 300
Orange City, FL 32763-8269

Mailing address

975 Town Center Dr
Suite 300
Orange City, FL 32763-8269
Phone (386) 775-1086

Other identifiers 1

IdentifierTypeStateIssuer
274004400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000875 FL Practitioner - Internal Medicine 8123045457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saxon Internal Medicine P aGroup PAC ID 1153579644, 2 clinicians
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000

1200 Lexington Green LN
Sanford, FL 32771-1013

2574 S Volusia Ave
Orange City, FL 32763-9123
Phone (386) 775-1086

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saxon Internal Medicine P a Internal Medicine CurrentSince Aug 5, 2012 Accepting new patients
Saxon Family Practice, PA Past Accepting new patients

Locations

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

2574 S Volusia Ave
Orange City, FL 32763
Phone (386) 774-2999

2574 S Volusia Ave
Unit 5
Orange City, FL 32763

975 Town Center Dr
Ste 300
Orange City, FL 32763
Phone (386) 775-1086

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFHACA

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1730147455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 TOWN CENTER DR",
            "address_2": "SUITE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638269",
            "telephone_number": "386-775-1086",
            "fax_number": "386-775-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 TOWN CENTER DR",
            "address_2": "SUITE 300",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638269",
            "telephone_number": "386-775-1086",
            "fax_number": "386-775-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURSHID",
        "first_name": "SYED",
        "middle_name": "GHAZZAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274004400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.