Active NPI
Khalid Jamal Hamdan, PA-C
- Physician Assistant
- Miami, FL
National Provider Identifier
1104705375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9120736
- Practice address
- 8940 N Kendall Dr Ste 601E
Miami, FL 33176-2150 - Phone
- (786) 596-8020
- NPI assigned
- Aug 30, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9120736 | FL | Primary |
Addresses
Primary practice location
8940 N Kendall Dr Ste 601E
Miami, FL 33176-2150
Mailing address
PO Box 198054
Atlanta, GA 30384-8054
Phone (786) 662-7980
Other practice location 1
1 Main St Apt 216
Miramar, FL 33025-8205
Phone (305) 788-1989
Other practice location 2
8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-2000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6855 S Red Rd
Suite 540
Coral Gables, FL 33143-3623
PO Box
Atlanta, GA 30384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Specialist
- Miami, FL
- NPI 1891893343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1104705375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 198054",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303848054",
"telephone_number": "786-662-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8940 N KENDALL DR STE 601E",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762150",
"telephone_number": "786-596-8020"
}
],
"practiceLocations": [
{
"address_1": "1 Main St Apt 216",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330258205",
"country_code": "US",
"telephone_number": "305-788-1989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8900 N Kendall Dr",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331762118",
"country_code": "US",
"telephone_number": "786-596-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMDAN",
"first_name": "KHALID",
"middle_name": "JAMAL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-30",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9120736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.