Active NPI
Khurram Shahzad, M.D.
- Internal Medicine Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01077901A
- Practice address
- 2001 W 86TH St
Indianapolis, IN 46260-1902 - Phone
- (317) 338-3634
- NPI assigned
- Apr 12, 2012
- Last updated
- Aug 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01077901A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 35.126081 | OH | |
| Internal Medicine Physician | 207R00000X | 50091 | KY | |
| Internal Medicine Physician | 207R00000X | TP556 | KY | |
| Hospitalist Physician | 208M00000X | 01077901A | IN |
Addresses
Primary practice location
2001 W 86TH St
Indianapolis, IN 46260-1902
Mailing address
10330 N Meridian St # 300
Indianapolis, IN 46290-1024
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | IN | ANTHEM PROVIDER NUMBER |
| 7100443560 | Medicaid | KY | |
| 0143779 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, KY, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.126081 | OH | MD | Internal Medicine Physician |
| 01077901A | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Arnett Clinic, LLC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Ky, LLC | Hospitalist | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Internal Medicine | Current | Accepting new patients |
| Vital Health LLC | Internal Medicine | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Delphi Hospitalist Services LLC | Hospitalist | Current | Accepting new patients |
| Ashland Hospital Corporation | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
8016 Reliable Pkwy
Chicago, IL 60686
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836
2600 Greenbush St
Lafayette, IN 47904
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111
1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711
214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Interoperability endpoints
- kshahzad63956@direct.kdhealth.us
Organizations & group practices 12
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.
-
dba Kings Daughters Medical Specialities Physical Medicine and Rehab
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
Internal Medicine
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
Internal Medicine
-
- Hospitalist Physician
- Rochester, NY
- NPI 1922270420
-
- Hospitalist Physician
- Bowling Green, KY
- NPI 1215634373
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, KY
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
- Internal Medicine Physician
- Muncie, IN
- NPI 1851985998
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kings Daughters Medical Center
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
dba King's Daughters Medical Center - Ohio
- General Acute Care Hospital
- Portsmouth, OH
- NPI 1417227398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503964800000",
"number": "1730446931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 N MERIDIAN ST # 300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W 86TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601902",
"telephone_number": "317-338-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHZAD",
"first_name": "KHURRAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2017-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01077901A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.126081",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "50091",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "TP556",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01077901A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "PENDING",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100443560",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143779",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.