Individual provider Active NPI

Khaled A Mohamed, MD

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1144289620
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME91997 Issued in FL
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002924500MedicaidFL
129160500MedicaidFL

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
I20050825000210 FL Practitioner - Family Practice 4183655533 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc Current Accepting new patients
Orange Ave Consulting CurrentSince Jan 1, 2018 Accepting new patients
Community Health Centers, Inc CurrentSince Oct 23, 2025 Accepting new patients
Community Health Centers, Inc CurrentSince Oct 23, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.