NPIMap

Individual provider Active NPI

Yervant Khatcherian, MD

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1104823350
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75296 Issued in FL
Practice address
29605 US Highway 19 N
Suite 170
Clearwater, FL 33761-1537
Phone
(727) 771-8444
NPI assigned
Jul 1, 2005
Last updated
Oct 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME75296 FL Primary

Addresses

Primary practice location

29605 US Highway 19 N
Suite 170
Clearwater, FL 33761-1537

Mailing address

29605 US Highway 19 N
Suite 170
Clearwater, FL 33761-1537
Phone (727) 771-8444

Other identifiers 1

IdentifierTypeStateIssuer
254962000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118000143 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0941499339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medflorida Hospitalists LLCGroup PAC ID 3971887399, 3 clinicians
Medflorida, LLCGroup PAC ID 8729347166, 3 clinicians

Practice addresses (Care Compare)

1755 E Lake Rd
Tarpon Spring, FL 34689
Phone (561) 932-0995

2010 Greenbriar Blvd
Clearwater, FL 33763-1454
Phone (561) 932-0995

29605 US Hwy 19 N
Suite 170
Clearwater, FL 33761-1538
Phone (727) 771-8444

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medflorida Hospitalists LLC Internal Medicine CurrentSince Nov 28, 2016 Accepting new patients
Medflorida, LLC Internal Medicine CurrentSince Nov 6, 2017 Accepting new patients
L Center Services Corp PastSince Feb 15, 2025 Accepting new patients
Hans a Langschwager MD PA Internal Medicine Past Accepting new patients

Locations

29605 US Highway 19 N
Ste 170
Clearwater, FL 33761
Phone (727) 771-8444

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCBD/Endpoint/HEDCBD

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1104823350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29605 US HIGHWAY 19 N",
            "address_2": "SUITE 170",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611537",
            "telephone_number": "727-771-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29605 US HIGHWAY 19 N",
            "address_2": "SUITE 170",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337611537",
            "telephone_number": "727-771-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATCHERIAN",
        "first_name": "YERVANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254962000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.