Individual provider Active NPI

Jasjeet Singh Khural

  • Cardiovascular Disease Physician
  • Matthews, NC
National Provider Identifier
1922492909
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2021-01228 Issued in NC
Practice address
1401 Matthews Township Pkwy Ste 212&312
Matthews, NC 28105-5402
Phone
(704) 316-3131
Fax
(704) 316-3132
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2021-01228 NC Primary

Addresses

Primary practice location

1401 Matthews Township Pkwy Ste 212&312
Matthews, NC 28105-5402

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-3131

Other practice location 1

22 S Greene St
Room N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Other practice location 2

1401 Matthews Township Pkwy Ste 212
Matthews, NC 28105-5403
Phone (704) 316-3131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkhural889220@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210805003177 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1355649567 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Novant Health Matthews Medical Center LLCGroup PAC ID 6406845247, 76 clinicians

Practice addresses (Care Compare)

125 Queens Rd
Suite 200
Charlotte, NC 28204-3215
Phone (704) 343-9800

1401 Matthews Township Pkwy
Suite 212And312
Matthews, NC 28105-5402
Phone (704) 316-3131

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

Hospital & facility affiliations

  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-01228NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Presbyterian Hospital CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Aug 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
The Presbyterian Hospital CurrentSince Jul 1, 2021 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Aug 1, 2021 Accepting new patients
Novant Health Ballantyne Medical Center LLC CurrentSince Sep 9, 2023 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Ste 201
Charlotte, NC 28215
Phone (704) 316-3024

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

125 Queens Rd
Ste 330
Charlotte, NC 28204
Phone (704) 384-5043

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

15830 Ballantyne Medical Pl
Ste 275
Charlotte, NC 28277
Phone (980) 302-8659

125 Baldwin Ave
Ste 200
Charlotte, NC 28204
Phone (704) 384-5043

2225 Freedom Dr
Charlotte, NC 28208
Phone (704) 316-5166

125 Queens Rd
Ste 200
Charlotte, NC 28204

301 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 316-5100

125 Queens Rd
Ste 250
Charlotte, NC 28204
Phone (704) 316-2340

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1226 Eastchester Dr
#100
High Point, NC 27265
Phone (336) 481-8540

9930 Kincey Ave
Ste 200
Huntersville, NC 28078
Phone (704) 887-4530

1401 Matthews Township Pkwy
Ste 212312
Matthews, NC 28105
Phone (704) 316-3131

1401 Matthews Township Pkwy
Ste 110
Matthews, NC 28105
Phone (704) 264-3500

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

1401 Matthews Township Pkwy
Ste 212
Matthews, NC 28105
Phone (704) 316-3131

1401 Matthews Township Pkwy
Ste 312
Matthews, NC 28105
Phone (704) 316-9001

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1922492909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-3131",
            "fax_number": "704-316-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MATTHEWS TOWNSHIP PKWY STE 212&312",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055402",
            "telephone_number": "704-316-3131",
            "fax_number": "704-316-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_2": "Room N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Matthews Township Pkwy Ste 212",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281055403",
            "country_code": "US",
            "telephone_number": "704-316-3131",
            "fax_number": "704-316-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHURAL",
        "first_name": "JASJEET",
        "middle_name": "SINGH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2021-01228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkhural889220@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1401 Matthews Township Pkwy Ste 212",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281055403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.