Dr. Khansa Khusro , DDS
Dentist - General Practice β’ Marietta, GA
4250 Roswell Rd Ste 110
Marietta, GA 300628114
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
4250 Roswell Rd Ste 110
Marietta, GA 300628114
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2024
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Khusro has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Khusro as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Marietta and Georgia
154 active clinicians are listed under Dentist - General Practice with a practice address in Marietta, GA (3,171 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Marietta
0% of these 154 clinicians have the CMS telehealth indicator.
0% of these 154 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-11-04NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - DENTIST
I20250807003545
CA
7618475864
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist - General Practice
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4250 ROSWELL RD STE 110, MARIETTA, GA 300628114 (Tel: 7705095585)
Registered at 4250 ROSWELL RD STE 110, MARIETTA, GA 300628114 (Tel: 8056677751)
Registered at 23130 LYONS AVE, NEWHALL, CA 913212631 (Tel: 6612190001)
Registered at 1927 CLARKIA ST, SIMI VALLEY, CA 930650213 (Tel: 8056677751)
NPI status registered as active in NPPES database
Registered at 3307 ROCHESTER RD, ROYAL OAK, MI 480732850 (Tel: 2483077434)
Registered at 13362 MAPLE LAWN DR, SHELBY TOWNSHIP, MI 483152304 (Tel: 8056677751)
Recorded as KHANSA KHUSRO, DDS
Dentist (license number reported to NPPES: MI 2901602297)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Dentist - General Practices in Marietta
- Dr. James Anderson, DMD
- Dr. Marshall Knauer, DMD
- Dr. Stanley Stein, DMD
- Dr. Cristi Cheek, DMD
- Dr. Joseph Morabit, DMD
- Dr. Dana Thomas, DMD
Mailing Address
4250 Roswell Rd Ste 110
Marietta, GA 300628114
Phone: 8056677751