Individual provider Active NPI

Ikram Kureshi, MD

  • Surgery Physician
  • Sherman, TX
National Provider Identifier
1932211828
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M8104 Issued in TX
Practice address
204 Medical Dr
Ste 260
Sherman, TX 75092-6366
Phone
(903) 416-6400
Fax
(903) 465-6404
NPI assigned
Aug 31, 2006
Last updated
May 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 228763 ME
Surgery Physician 208600000X M8104 TX Primary

Addresses

Primary practice location

204 Medical Dr
Ste 260
Sherman, TX 75092-6366

Mailing address

204 Medical Dr
Ste 260
Sherman, TX 75092-6366
Phone (903) 416-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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

Enrollment IDStateProvider typePAC IDDetails
I20080827000585 TX Practitioner - General Surgery 3274530092 Practice locations: McKinney, TX; Sherman, TX
I20131015000451 OK Practitioner - General Surgery 3274530092

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas Tech University Health Science Center School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

204 Medical Dr
Suite 260
Sherman, TX 75092-6366

204 Medical Dr
Suite 260
Sherman, TX 75092-6372
Phone (903) 416-6400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228763MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Grayson Hospital LLC Current Accepting new patients
Brigham and Womens Physicians Organization Inc Surgery Past Accepting new patients
Total Wellness and Bariatrics, P.a. Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHIBCA/Endpoint/FHIBCA
  • Direct secure messaging: ikramkureshi@wnjrmc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1932211828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR",
            "address_2": "STE 260",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926366",
            "telephone_number": "903-416-6400",
            "fax_number": "903-465-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MEDICAL DR",
            "address_2": "STE 260",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926366",
            "telephone_number": "903-416-6400",
            "fax_number": "903-465-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURESHI",
        "first_name": "IKRAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "228763",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M8104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.