Active NPI
Houman Khalili, M.D.
- Interventional Cardiology Physician
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME137275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101797800 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Memorial Hospital West
- Memorial Hospital Pembroke
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 20 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tenet Florida Physician Services LLC | Interventional Cardiology | Current | Accepting new patients |
| South Broward Hospital District | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | Accepting new patients | |
| South Broward Hospital District | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Hollywood, FL
- NPI 1326479585
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
Interventional Cardiology
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
-
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1063495836
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
-
- General Acute Care Hospital
- Hollywood, FL
- NPI 1780667923
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.