Individual provider Active NPI

Khurram Shahzad, M.D.

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1730446931
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01077901A Issued in IN
Practice address
2001 W 86TH St
Indianapolis, IN 46260-1902
Phone
(317) 338-3634
NPI assigned
Apr 12, 2012
Last updated
Aug 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PENDINGOtherINANTHEM PROVIDER NUMBER
7100443560MedicaidKY
0143779MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, KY, NY4 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
I20151015001441 OH Practitioner - Internal Medicine 8022327923 Reassigns benefits to 1 organization
I20170118000379 IN Practitioner - HospitalistPractitioner - Internal Medicine 8022327923 Reassigns benefits to 2 organizations
I20170322001321 KY Practitioner - Internal Medicine 8022327923 Reassigns benefits to 3 organizations
I20221103002671 NY Practitioner - Internal Medicine 8022327923 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
35.126081OHMDInternal Medicine Physician
01077901AINMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Family Physicians, Inc. Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Arnett Clinic, LLC Internal Medicine CurrentSince Jul 12, 2017 Accepting new patients
Hospital Medicine Services of Ky, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
University Family Physicians, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 12, 2017 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 CurrentSince Sep 22, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.