Erum S Khaleeq

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD24295 Issued in OR

Practice address

1268 McGee CT NE
Keizer, OR 97303-9454

Phone

(832) 858-3935

NPI assigned

Aug 29, 2006

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, TX2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erumkhaleeq@tdh.allscriptsdirect.net

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.

• Precision Mental Performance LLC

  dba NeuStart Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Salem, OR
  • NPI 1780166116

  Psychiatry

  Medicare reassignment NPD
• DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P

  dba Oregon State Hospital (Salem)

  • Psychiatric Hospital
  • Salem, OR
  • NPI 1508802489
  Medicare reassignment
• Pacific Coast Clinic Salem LLC

  • Adult Mental Health Clinic/Center
  • Salem, OR
  • NPI 1669704805
  NPD
• Dr Erum Psychiatry, PLLC

  dba Better Care Psychiatry

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1821610528
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychiatry

  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1902915770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 MCGEE CT NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973039454",
            "telephone_number": "832-858-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 MCGEE CT NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973039454",
            "telephone_number": "832-858-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALEEQ",
        "first_name": "ERUM",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD24295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keizer Vision Source PC (Keizer Vision Clinic)
• Michael Wilford Kelber, MD
• Chelsea Kellogg
• Daniel Richard Kenagy
• Brendan Charles Kennedy, CADC II, BS
• Caroline Louise King-Widdall, M.D.
• Katie King, CADC I
• Kites Pediatrics Occupational Therapy, Inc.
• Kamryn Klassen
• Laura Kline, RPH

• Psychiatry Physician in Keizer, OR
• Providers in Keizer, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.