Individual provider Active NPI

Khurram Rasheed, M.D.

  • Vascular Surgery Physician
  • Easton, PA
National Provider Identifier
1871869982
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD465297 Issued in PA
Practice address
3735 Nazareth Rd Ste 206
Easton, PA 18045-8346
Phone
(484) 503-8281
Fax
(833) 816-5612
NPI assigned
Mar 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X MD465297 PA Primary

Addresses

Primary practice location

3735 Nazareth Rd Ste 206
Easton, PA 18045-8346

Mailing address

95 Highland Ave Ste 130
Bethlehem, PA 18017-9483
Phone (610) 868-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181205000027 PA Practitioner - Vascular Surgery 2163711029 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Jul 1, 2019 Accepting new patients
St Luke's Physician Group Inc CurrentSince Oct 10, 2018 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Oct 10, 2018 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Star Community Health, Inc CurrentSince Jul 1, 2019 Accepting new patients
Gslpg, Inc CurrentSince Jan 11, 2020 Accepting new patients
Progressive Physician Assoc Inc Vascular Surgery PastSince Jan 12, 2020 Accepting new patients
Vascular Surgery of the University Vascular Surgery Past Accepting new patients
Progressive Physician Assoc, Inc. Vascular Surgery PastSince Jan 12, 2020 Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

3735 Nazareth Rd
Ste 206
Easton, PA 18045

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1871869982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 HIGHLAND AVE STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180179483",
            "telephone_number": "610-868-1100",
            "fax_number": "610-868-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 NAZARETH RD STE 206",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458346",
            "telephone_number": "484-503-8281",
            "fax_number": "833-816-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHEED",
        "first_name": "KHURRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD465297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.