Individual provider Active NPI

Nausheen Khuddus, MD

  • Ophthalmology Physician
  • Gainesville, FL
National Provider Identifier
1124069505
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME81665 Issued in FL
Practice address
7120 NW 11TH PL
Gainesville, FL 32605-3142
Phone
(352) 261-0089
Fax
(386) 755-1128
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME81665 FL Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X ME81665 FL

Addresses

Primary practice location

7120 NW 11TH PL
Gainesville, FL 32605-3142

Mailing address

PO Box 489
Lake City, FL 32056-0489
Phone (386) 755-2785

Other identifiers 1

IdentifierTypeStateIssuer
262541500MedicaidFL

Other names 1

  • Nausheen Khuddus Other name

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
I20100628000672 FL Practitioner - Ophthalmology 0547391062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Eye Associates PAGroup PAC ID 7517950637, 7 clinicians

Practice addresses (Care Compare)

1615 SW Main Blvd
Lake City, FL 32025-1108
Phone (386) 755-2785

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Eye Associates PA Ophthalmology CurrentSince May 6, 2016 Accepting new patients
Reichert Eye Centers of N FL, PA Ophthalmology PastSince May 6, 2016 Accepting new patients

Locations

7120 NW 11th Pl
Gainesville, FL 32605
Phone (352) 265-0820

1615 SW Main Blvd
Lake City, FL 32025
Phone (386) 755-2785

105 Grand St NE
Live Oak, FL 32064
Phone (386) 364-5677

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/K8KD7A7C
  • Direct secure messaging: nkhuddus@ceapa.intellechartdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1124069505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320560489",
            "telephone_number": "386-755-2785",
            "fax_number": "386-755-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 NW 11TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053142",
            "telephone_number": "352-261-0089",
            "fax_number": "386-755-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUDDUS",
        "first_name": "NAUSHEEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME81665",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "FL",
            "license": "ME81665",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262541500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAUSHEEN",
            "last_name": "KHUDDUS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.