Active NPI
Faseeh Uddin Khaja, M.D.
- Hematology & Oncology Physician
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- ME119805
- Practice address
- 1258 W Bay Dr Ste B
Largo, FL 33770-2277 - Phone
- (727) 344-6569
- Fax
- (727) 384-4388
- NPI assigned
- Oct 1, 2008
- Last updated
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hematology & Oncology Physician | 207RH0003X | ME119805 | FL | Primary |
Addresses
Primary practice location
1258 W Bay Dr Ste B
Largo, FL 33770-2277
Mailing address
5000 Park St N Ste 1017
St Petersburg, FL 33709-2236
Phone (727) 344-6570
Other practice location 1
603 7th St S Ste 560
St Petersburg, FL 33701-4732
Phone (727) 820-7714
Other practice location 2
3000 US Highway 19
Holiday, FL 34691-2635
Phone (727) 344-6569
Other practice location 3
4114 Woodlands Pkwy Ste 301
Palm Harbor, FL 34685-3450
Phone (727) 344-6569
Other practice location 4
3611 Little Rd
Trinity, FL 34655-1813
Phone (727) 344-6569
Other practice location 5
5000 Park St N Ste 1017
St Petersburg, FL 33709-2236
Phone (727) 344-6569
Other practice location 6
401 Vonderburg Dr
Brandon, FL 33511-5963
Phone (813) 684-2339
Other practice location 7
6555 Cortez Rd W
Bradenton, FL 34210-2608
Phone (727) 344-6569
Other practice location 8
3501 Cortez Rd W
Bradenton, FL 34210-3196
Phone (727) 344-6569
Other practice location 9
425 S Parsons Ave Ste 101
Brandon, FL 33511-5290
Phone (813) 278-5062
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012596900 | Medicaid | FL | |
| KX129 | Other | FL | MEDICARE |
| KX131 | Other | FL | MEDICARE |
| 14XM2 | Other | FL | BCBS FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MS, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1000
1205 Hwy 182 W
Clay County Medical Corporation
Starkville, MS 39759-9820
Phone (662) 320-8545
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.76 of 100
- Quality
- 59.78
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.84 of 100
- Quality
- 86.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Comprehensive Hematology Oncology LLC | Hematology & Oncology | Current | Accepting new patients |
| Clay County Medical Corporation | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc. | Hematology & Oncology | Current | Accepting new patients |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Comprehensive Hematology Oncology LLC | Current | Accepting new patients | |
| Clay County Medical Corporation | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Lafayette General Medical Center Inc. | Past | Accepting new patients |
Locations
3501 Cortez Rd W
Bradenton, FL 34210
Phone (941) 752-2700
6555 Cortez Rd W
Bradenton, FL 34210
Phone (813) 278-5062
401 Vonderburg Dr
Brandon, FL 33511
Phone (813) 684-2339
425 S Parsons Ave
Ste 101
Brandon, FL 33511
Phone (813) 278-5062
3000 US Highway 19
Holiday, FL 34691
Phone (727) 942-7070
1258 West Bay Dr
Ste B
Largo, FL 33770
4114 Woodlands Pkwy
Ste 301
Palm Harbor, FL 34685
Phone (727) 789-2595
5000 Park St N
Ste 1017
St Petersburg, FL 33709
Phone (727) 344-6570
603 7th St S
Ste 560
St Petersburg, FL 33701
Phone (727) 820-7714
3611 Little Rd
Trinity, FL 34655
Phone (727) 312-4300
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
1205 Highway 182 W
Starkville, MS 39759
Phone (662) 320-8545
961 S Gloster St
Tupelo, MS 38801
Phone (601) 844-9166
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- fkhaja216514@direct.aspirus.org
Organizations & group practices 14
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.
-
dba Clay County Med Ctr - ER Phys
- Emergency Care Clinic/Center
- West Point, MS
- NPI 1578670972
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Hematology & Oncology Physician
- St Petersburg, FL
- NPI 1144786906
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
dba Comprehensive Hematology Oncology Pharmacy
- Community/Retail Pharmacy
- St Petersburg, FL
- NPI 1528610367
-
dba North Mississippi Retina Center West Point
- Ophthalmology Physician
- West Point, MS
- NPI 1174353247
-
dba North Mississippi Surgery Clinic Eupora
- Surgery Physician
- Eupora, MS
- NPI 1639684152
-
dba Jennings American Legion Hospital Physician Group
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
dba dba Family Health Plaza
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
dba Cancer Center of Acadiana at New Iberia
- Hematology & Oncology Physician
- New Iberia, LA
- NPI 1336528355
-
dba NMMC Specialty Consultants Oxford
- Medical Oncology Physician
- Oxford, MS
- NPI 1790662609
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, MS
- NPI 1609830173
-
dba Clay County Medical Center
- General Acute Care Hospital
- West Point, MS
- NPI 1639284409
-
dba Iberia Medical Center
- Rehabilitation Hospital Unit
- New Iberia, LA
- NPI 1992159925
-
dba Iberia Medical Center
- General Acute Care Hospital
- New Iberia, LA
- NPI 1285601088
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1053562678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 PARK ST N STE 1017",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337092236",
"telephone_number": "727-344-6570",
"fax_number": "727-384-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1258 W BAY DR STE B",
"city": "LARGO",
"state": "FL",
"postal_code": "337702277",
"telephone_number": "727-344-6569",
"fax_number": "727-384-4388"
}
],
"practiceLocations": [
{
"address_1": "603 7th St S Ste 560",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337014732",
"country_code": "US",
"telephone_number": "727-820-7714",
"fax_number": "727-202-6455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 US Highway 19",
"address_purpose": "LOCATION",
"city": "Holiday",
"state": "FL",
"postal_code": "346912635",
"country_code": "US",
"telephone_number": "727-344-6569",
"fax_number": "727-384-4388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4114 Woodlands Pkwy Ste 301",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346853450",
"country_code": "US",
"telephone_number": "727-344-6569",
"fax_number": "727-384-4388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3611 Little Rd",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "FL",
"postal_code": "346551813",
"country_code": "US",
"telephone_number": "727-344-6569",
"fax_number": "727-384-4388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 Park St N Ste 1017",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337092236",
"country_code": "US",
"telephone_number": "727-344-6569",
"fax_number": "727-384-4388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Vonderburg Dr",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115963",
"country_code": "US",
"telephone_number": "813-684-2339",
"fax_number": "727-384-4388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6555 Cortez Rd W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342102608",
"country_code": "US",
"telephone_number": "727-344-6569",
"fax_number": "727-384-4388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3501 Cortez Rd W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342103196",
"country_code": "US",
"telephone_number": "727-344-6569",
"fax_number": "727-384-4388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 S Parsons Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115290",
"country_code": "US",
"telephone_number": "813-278-5062",
"fax_number": "813-502-6933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAJA",
"first_name": "FASEEH",
"middle_name": "UDDIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-01",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": "ME119805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012596900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "KX129",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "KX131",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "14XM2",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.