Individual provider Active NPI

Houman Khalili, M.D.

  • Interventional Cardiology Physician
  • Hollywood, FL
National Provider Identifier
1104084631
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME137275 Issued in FL
Practice address
1150 N 35TH Ave Ste 605
Hollywood, FL 33021-5431
Phone
(954) 265-7900
Fax
(954) 276-0260
NPI assigned
May 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME137275 FL Primary

Addresses

Primary practice location

1150 N 35TH Ave Ste 605
Hollywood, FL 33021-5431

Mailing address

2900 Corporate Way
Door D
Miramar, FL 33025
Phone (954) 276-5603

Other practice location 1

603 N Flamingo Rd Ste 255
Pembroke Pines, FL 33028-1013
Phone (954) 265-7900

Other identifiers 1

IdentifierTypeStateIssuer
101797800MedicaidFL

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
I20190205000210 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6204148448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Hollywood, FL 33021-5431
Phone (954) 265-7900

20803 Biscayne Blvd
Suite 204
Aventura, FL 33180-1429
Phone (954) 265-7900

601 N Flamingo Rd
Suite 316
Pembroke Pines, FL 33028-1015
Phone (954) 265-3015

603 N Flamingo Rd
Pembroke Pines, FL 33028-1013
Phone (954) 265-7900

801 N Flamingo Rd
Pembroke Pines, FL 33028-1019
Phone (954) 265-7900

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services LLC Interventional Cardiology CurrentSince Dec 24, 2018 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2023 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Dec 24, 2018 Accepting new patients
South Broward Hospital District CurrentSince Jan 1, 2023 Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

20803 Biscayne Blvd
Ste 204
Aventura, FL 33180
Phone (954) 844-4480

9960 Central Park Blvd N
Ste 150
Boca Raton, FL 33428
Phone (561) 451-0500

2307 W Broward Blvd
Ste 101
Ft Lauderdale, FL 33312
Phone (954) 523-3422

1150 N 35th Ave
Ste 605
Hollywood, FL 33021
Phone (954) 965-2966

1150 N 35th Ave
Ste 600
Hollywood, FL 33021
Phone (954) 265-5969

3001 NW 49th Ave
Ste 104
Lauderdale Lakes, FL 33313
Phone (954) 735-6333

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

603 N Flamingo Rd
Ste 255
Pembroke Pines, FL 33028
Phone (954) 265-1125

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Interoperability endpoints

  • Direct secure messaging: hkhalili325759@mhsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1104084631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CORPORATE WAY",
            "address_2": "DOOR D",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33025",
            "telephone_number": "954-276-5603",
            "fax_number": "954-985-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE STE 605",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215431",
            "telephone_number": "954-265-7900",
            "fax_number": "954-276-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 N Flamingo Rd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330281013",
            "country_code": "US",
            "telephone_number": "954-265-7900",
            "fax_number": "954-276-0260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALILI",
        "first_name": "HOUMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-31",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME137275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101797800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.