Individual provider Active NPI

Faseeh Uddin Khaja, M.D.

  • Hematology & Oncology Physician
  • Largo, FL
National Provider Identifier
1053562678
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME119805 Issued in FL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012596900MedicaidFL
KX129OtherFLMEDICARE
KX131OtherFLMEDICARE
14XM2OtherFLBCBS FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140813000508 FL Practitioner - Hematology/Oncology 6103043237 Reassigns benefits to 1 organization
I20260311002184 MS Practitioner - Hematology/Oncology 6103043237 Reassigns benefits to 2 organizations
I20260424001426 GA Practitioner - Medical OncologyPractitioner - Hematology/Oncology 6103043237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians
Clay County Medical CorporationGroup PAC ID 4789649609, 36 clinicians

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 100Reported as group
Quality
59.78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Sep 17, 2024 Accepting new patients
Comprehensive Hematology Oncology LLC Hematology & Oncology CurrentSince Jan 26, 2019 Accepting new patients
Clay County Medical Corporation CurrentSince Mar 4, 2026 Accepting new patients
Lafayette Health Ventures, Inc. Hematology & Oncology CurrentSince Sep 17, 2024 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Comprehensive Hematology Oncology LLC CurrentSince Jan 26, 2019 Accepting new patients
Clay County Medical Corporation CurrentSince Mar 4, 2026 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Mar 4, 2026 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Mar 4, 2026 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.