Individual provider Active NPI

Mufaddal F Kheda, MD

  • Internal Medicine Physician
  • Lighthouse Point, FL
National Provider Identifier
1083734982
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1083734982 Issued in FL
Practice address
2783 NE 31St CT
Lighthouse Point, FL 33064-8545
Phone
(706) 414-2330
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME151225 FL
Nephrology Physician 207RN0300X 059860 GA
Internal Medicine Physician 207R00000X 1083734982 FL Primary

Addresses

Primary practice location

2783 NE 31St CT
Lighthouse Point, FL 33064-8545

Mailing address

2783 NE 31St CT
Lighthouse Point, FL 33064-8545
Phone (706) 414-2330

Other practice location 1

1200 N Jefferson St
Albany, GA 31701-2057
Phone (229) 888-3970

Other identifiers 2

IdentifierTypeStateIssuer
548956886CMedicaidGA
202I116355OtherGAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080804000456 GA Practitioner - NephrologyPractitioner - Internal Medicine 6002980448 Reassigns benefits to 2 organizations
I20250626004110 FL Practitioner - Internal Medicine 6002980448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1083734982FLMDInternal Medicine Physician
059860GAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Senior Center CurrentSince Aug 1, 2017 Accepting new patients
Tift Regional Health System Inc CurrentSince Jul 1, 2024 Accepting new patients
Tift Regional Health System Inc CurrentSince Jul 1, 2024 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jul 15, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 1, 2017 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Ben Hill Physician Services LLC Past Accepting new patients
Bleckley Physician Services LLC Past Accepting new patients
Bleckley Emergency Group LLC Past Accepting new patients

Locations

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1083734982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 NE 31ST CT",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648545",
            "telephone_number": "706-414-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 NE 31ST CT",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330648545",
            "telephone_number": "706-414-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317012057",
            "country_code": "US",
            "telephone_number": "229-888-3970",
            "fax_number": "229-888-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHEDA",
        "first_name": "MUFADDAL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME151225",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "059860",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "1083734982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548956886C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I116355",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

Verify at the official NPI Registry.