Active NPI
Khaled A Mohamed, MD
- Family Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME91997
- Practice address
- 19108 E Colonial Dr
Orlando, FL 32820-3701 - Phone
- (407) 905-8827
- Fax
- (407) 660-1667
- NPI assigned
- Mar 22, 2006
- Last updated
- Dec 4, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME91997 | FL | Primary |
Addresses
Primary practice location
19108 E Colonial Dr
Orlando, FL 32820-3701
Mailing address
110 S Woodland St
Winter Garden, FL 34787-3546
Phone (407) 905-8827
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002924500 | Medicaid | FL | |
| 129160500 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers, Inc | Current | Accepting new patients | |
| Orange Ave Consulting | Current | Accepting new patients | |
| Community Health Centers, Inc | Current | Accepting new patients | |
| Community Health Centers, Inc | Current | Accepting new patients | |
| Community Health Center, Inc. | Past | Accepting new patients | |
| Community Health Centers, Inc | Past | Accepting new patients | |
| Metcare of Florida, Inc | Past | Accepting new patients |
Locations
225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201
609 N Charles Richard Beall Blvd
Debary, FL 32713
Phone (386) 337-3525
225 W State Road 434
Ste 203
Longwood, FL 32750
Phone (407) 459-4360
6909 Old Highway 441 S
Ste 300
Mount Dora, FL 32757
Phone (352) 383-7703
10437 Moss Park Rd
Orlando, FL 32832
Phone (404) 802-1100
19108 E Colonial Dr
Orlando, FL 32820
7900 Forest City Rd
Orlando, FL 32810
Phone 40790588271001
840 Mercy Dr
Pine Hills, FL 32808
Phone (407) 614-5375
212 E Main St
Tavares, FL 32778
Phone (352) 314-7409
110 S Woodland St
Winter Garden, FL 34787
Interoperability endpoints
- khaled.mohamed@chcfl.eclinicaldirectplus.com
Organizations & group practices 8
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.
-
- Community/Retail Pharmacy
- Apopka, FL
- NPI 1134258684
-
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1396829677
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1710259965
-
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1922398023
-
- Primary Care Clinic/Center
- Orlando, FL
- NPI 1700209400
-
- Federally Qualified Health Center (FQHC)
- Winter Garden, FL
- NPI 1275602476
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1366531618
-
dba Conviva Care Center
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1144289620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S WOODLAND ST",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873546",
"telephone_number": "407-905-8827",
"fax_number": "321-221-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19108 E COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328203701",
"telephone_number": "407-905-8827",
"fax_number": "407-660-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "KHALED",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME91997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002924500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129160500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.