Khaled Deeb, MD, PHD, MBA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME141889 Issued in FL

Practice address

1010 Hollywood Blvd
Hollywood, FL 33019-1608

Phone

(954) 483-3381

Fax

(954) 516-0720

NPI assigned

Mar 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Internal Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JFK Internal Medicine Faculty Practice, LLCGroup PAC ID 9830254671, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJEFCD/Endpoint/IJEFCD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JFK Internal Medicine Faculty Practice, LLC

  • Specialist
  • Atlantis, FL
  • NPI 1467614651
  Medicare reassignment Care Compare group NPD
• WZRD, LLC

  dba WIZRAD Medical Center

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1962090993
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680393600000",
    "number": "1073044186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 FINAMORE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334678727",
            "telephone_number": "954-483-3381",
            "fax_number": "954-516-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191608",
            "telephone_number": "954-483-3381",
            "fax_number": "954-516-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEB",
        "first_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "141889",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME141889",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME141889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra's Timeless Love Companion Care LLC
• Patrick Marcus Decarlo, LMFT
• Jaslyn Decaso, LMHC
• Denise Decius
• Eduardo Dedos, MSN, ARNP, FNP-BC
• Kristina Deeter, M.D.
• Suzanne Elise Defrank, OTA
• Michelle M Defreitas, M.D.
• Timothy Degan, DO
• Yves Dehaut

• Internal Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; 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.

Verify at the official NPI Registry.