Individual provider Active NPI

Farhan Jehangir Khan, MD

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1093738783
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00027310 Issued in AL
Practice address
300 Pinellas St
Ms 47
Clearwater, FL 33756-3804
Phone
(727) 462-7908
NPI assigned
Jul 25, 2006
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00027310 AL Primary
Infectious Disease Physician 207RI0200X ME 105888 FL

Addresses

Primary practice location

300 Pinellas St
Ms 47
Clearwater, FL 33756-3804

Mailing address

300 Pinellas St
Ms 47
Clearwater, FL 33756-3804
Phone (727) 462-7908

Other identifiers 1

IdentifierTypeStateIssuer
009940417MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address FARHAN.KHAN@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130313000141 FL Practitioner - Internal Medicine 0941205272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians

Practice addresses (Care Compare)

119 Oakfield Dr
Brandon, FL 33511-5779
Phone (561) 997-0821

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00027310ALMDInternal Medicine Physician
ME 105888FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, PC CurrentSince Jan 1, 2013 Accepting new patients
Intensive Care Consortium Inc CurrentSince Aug 15, 2016 Accepting new patients
24 On Physicians, P.C. CurrentSince Jan 1, 2013 Accepting new patients
Randolph Health Systems, LLC Past Accepting new patients
Jordan C Messler Internal Medicine Past Accepting new patients

Locations

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

300 Pinellas St
#47
Clearwater, FL 33756
Phone (727) 462-7907

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

Interoperability endpoints

  • Direct secure messaging: farhan.khan@hca4.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1093738783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST",
            "address_2": "MS 47",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563804",
            "telephone_number": "727-462-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST",
            "address_2": "MS 47",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563804",
            "telephone_number": "727-462-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FARHAN",
        "middle_name": "JEHANGIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00027310",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 105888",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940417",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "FARHAN.KHAN@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "300 Pinellas St",
            "address_2": "MS 47",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337563804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.