Individual provider Active NPI

Khurram Surani, MD

  • Family Medicine Physician
  • Woodhaven, NY
National Provider Identifier
1922627447
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
324632 Issued in NY
Practice address
8615 Forest Pkwy
Woodhaven, NY 11421-1121
Phone
(718) 846-1414
Fax
(718) 849-0062
NPI assigned
Apr 14, 2020
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 324632 NY Primary

Addresses

Primary practice location

8615 Forest Pkwy
Woodhaven, NY 11421-1121

Mailing address

9033 Elmhurst Ave
Jackson Heights, NY 11372-7935
Phone (718) 457-7000

Other practice location 1

3141 45th St
Astoria, NY 11103-1621
Phone (718) 274-2600

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
I20240105001255 NY Practitioner - Family Practice 5092166884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens Medical Office, P.C.Group PAC ID 8224033535, 9 clinicians

Practice addresses (Care Compare)

8615 Forest Pkwy
Woodhaven, NY 11421-1121
Phone (718) 846-1414

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Medical Office, P.C. Family Medicine CurrentSince Nov 26, 2023 Accepting new patients

Locations

4046 74th St
Elmhurst, NY 11373
Phone (718) 458-1515

9033 Elmhurst Ave
Jackson Hts, NY 11372
Phone (718) 457-7000

3141 45th St
Long Island City, NY 11103
Phone (718) 274-2600

8615 Forest Pkwy
Woodhaven, NY 11421
Phone (212) 748-9147

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1922627447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 ELMHURST AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727935",
            "telephone_number": "718-457-7000",
            "fax_number": "718-899-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 FOREST PKWY",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114211121",
            "telephone_number": "718-846-1414",
            "fax_number": "718-849-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 45th St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111031621",
            "country_code": "US",
            "telephone_number": "718-274-2600",
            "fax_number": "718-274-1772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURANI",
        "first_name": "KHURRAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "324632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

Verify at the official NPI Registry.