Organization Active NPI

Khurrum T Pirzada, D.O. P.C.

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1871720656
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101014227 Issued in MI
Legal business name
KHURRUM T PIRZADA, D.O. P.C.
Practice address
940 W Avon Rd Ste 13
Rochester Hills, MI 48307-2760
Phone
(248) 856-6656
Fax
(248) 856-6657
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Dr. Khurrum T Pirzada, D.O.NPI 1750304119
Title
Chief Executive Officer/Physician
Phone
(248) 856-6656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101014227 MI Primary

Addresses

Primary practice location

940 W Avon Rd Ste 13
Rochester Hills, MI 48307-2760

Mailing address

940 W Avon Rd Ste 13
Rochester Hills, MI 48307-2760
Phone (248) 856-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000070 MI Part B Supplier - Clinic/Group Practice 5799949632 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

940 W Avon Rd
Ste 13
Rochester Hills, MI 48307
Phone (248) 651-6631

75 Barclay Cir
Ste 230
Rochester Hills, MI 48307
Phone (248) 246-1127

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1871720656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W AVON RD STE 13",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072760",
            "telephone_number": "248-856-6656",
            "fax_number": "248-856-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W AVON RD STE 13",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072760",
            "telephone_number": "248-856-6656",
            "fax_number": "248-856-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHURRUM T PIRZADA, D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "PIRZADA",
        "authorized_official_first_name": "KHURRUM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/PHYSICIAN",
        "authorized_official_telephone_number": "248-856-6656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.