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DR. GAURAV KHULLAR M.D.
NPI 1720422082
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since April 17, 2013PECOS Enrolled
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 847-4100 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Gaurav Khullar M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAURAV KHULLAR M.D. (NPI 1720422082) is an individual student in an organized health care education/training program in Greenville, North Carolina and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720422082
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GAURAV KHULLARCredential: M.D.
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing Address750 E Adams StSyracuse, NY 13210-2342
Phone(252) 847-4100
Sole ProprietorYes
Enumeration DateApril 17, 2013
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1720422082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gaurav Khullar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN ERIC GREGG M.D.
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5262
DR. TYLER RICHARD FLEMING MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
MARY CLAIRE CRON PA-C
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 816-2273
JASMINE SHA'DEY HOLMES MD
Emergency Medicine (Sports Medicine)
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
DR. SETH TYLER SCHIPINSKI DO
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-4611
BRIANNAE THEODORE
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
SHELLEY ELIZABETH MATTHEWS
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (910) 298-3125
LEONARDO JOSE DIAZ GANDICA MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaurav Khullar's NPI number?

The NPI number for Gaurav Khullar is 1720422082. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Gaurav Khullar located?

Gaurav Khullar practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 847-4100.

What is Gaurav Khullar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gaurav Khullar enrolled in Medicare?

Yes. Gaurav Khullar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gaurav Khullar was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.