Individual provider Active NPI

Muhammad Khalid Khawar, MD FRCP(C)

  • Internal Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1740243476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200274-1 Issued in NY
Practice address
817 Main St
Niagara Falls, NY 14301-1127
Phone
(716) 285-5776
Fax
(716) 285-5783
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 200274-1 NY Primary

Addresses

Primary practice location

817 Main St
Niagara Falls, NY 14301-1127

Mailing address

PO Box 456
Grand Island, NY 14072-0456
Phone (716) 285-5776

Other identifiers 1

IdentifierTypeStateIssuer
01821365MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000564 NY Practitioner - Internal MedicinePractitioner - Nuclear Medicine 0648256958 Reassigns benefits to 1 organization
Practice locations: Niagara Falls, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nuclear Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

620 Tenth St
Suite 710
Niagara Falls, NY 14302-0708
Phone (716) 278-4290

621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

817 Main St
Niagara Falls, NY 14301-1157
Phone (716) 285-5776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200274-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Oct 1, 2003 Accepting new patients
Niagara Falls Memorial Medical Center Internal Medicine CurrentSince Oct 1, 2003 Accepting new patients
Buffalo Shore Medical PLLC PastSince Sep 17, 2018 Accepting new patients

Locations

620 10th St
Ste 709
Niagara Falls, NY 14301
Phone (716) 205-0743

6934 Williams Rd
Niagara Falls, NY 14304
Phone (716) 298-5800

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 3

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.

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740243476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 456",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140720456",
            "telephone_number": "716-285-5776",
            "fax_number": "716-285-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MAIN ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011127",
            "telephone_number": "716-285-5776",
            "fax_number": "716-285-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAWAR",
        "first_name": "MUHAMMAD",
        "middle_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "MD FRCP(C)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200274-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01821365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.