Active NPI
Khushboo Nilesh Parikh, MD
- Pediatric Cardiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME158753
- Practice address
- 841 Prudential Dr Ste 280
Jacksonville, FL 32207-8350 - Phone
- (904) 202-8550
- Fax
- (904) 393-7808
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 303946 | LA | |
| Pediatrics Physician | 208000000X | ME158753 | FL | |
| Pediatric Cardiology Physician | 2080P0202X | 303946 | LA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 303946 | LA | |
| Pediatric Cardiology Physician | 2080P0202X | ME158753 | FL | Primary |
Addresses
Primary practice location
841 Prudential Dr Ste 280
Jacksonville, FL 32207-8350
Mailing address
PO Box 746645
Atlanta, GA 30374-6645
Phone (904) 202-2092
Other practice location 1
3650 NW DeVane St
Lake City, FL 32055-8730
Phone (904) 202-8550
Other practice location 2
601 N Clyde Morris Blvd Ste A
Daytona Beach, FL 32114-2300
Phone (904) 202-8550
Other practice location 3
2418 E Plaza Dr
Tallahassee, FL 32308-5301
Phone (850) 629-4861
Other practice location 4
8705 Perimeter Park Blvd Ste 8
Jacksonville, FL 32216-6353
Phone (904) 296-7771
Other practice location 5
1747 Baptist Clay Dr Ste 100
Fleming Island, FL 32003-8503
Phone (904) 202-8550
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kparikh82911@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Cardiology of Louisiana, LLC | Pediatric Cardiology | Current | Accepting new patients |
| Baptist Specialty Physicians Inc | Pediatric Cardiology | Current | Accepting new patients |
| Pediatric Intensivists of la, LLC | Current | Accepting new patients | |
| Wash-St Tammany Reg Medical Center | Current | Accepting new patients | |
| Pediatric Hospitalists of Louisiana, LLC | Pediatrics | Current | Accepting new patients |
| Baptist Specialty Physicians Inc | Pediatric Cardiology | Current | Accepting new patients |
| The Nemours Foundation | Past | Accepting new patients |
Locations
601 N Clyde Morris Blvd
Ste A
Daytona Beach, FL 32114
Phone (386) 252-3985
1747 Baptist Clay Dr
Ste 100
Fleming Island, FL 32003
Phone (904) 202-8550
8705 Perimeter Park Blvd
Ste 8
Jacksonville, FL 32216
Phone (904) 296-7771
841 Prudential Dr
Ste 280
Jacksonville, FL 32207
Phone (904) 202-8290
3650 NW Devane St
Lake City, FL 32055
Phone (386) 755-1221
2418 E Plaza Dr
Tallahassee, FL 32308
Phone (850) 629-4861
7777 Hennessy Blvd
Ste 103
Baton Rouge, LA 70808
Phone (225) 215-2255
8200 Constantin Blvd
Ste 200
Baton Rouge, LA 70809
Phone (225) 709-8633
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
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 and National Provider Directory roles.
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-
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- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1154618619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746645",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746645",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR STE 280",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078350",
"telephone_number": "904-202-8550",
"fax_number": "904-393-7808"
}
],
"practiceLocations": [
{
"address_1": "3650 NW DeVane St",
"address_purpose": "LOCATION",
"city": "Lake City",
"state": "FL",
"postal_code": "320558730",
"country_code": "US",
"telephone_number": "904-202-8550",
"fax_number": "904-393-7808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 N Clyde Morris Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142300",
"country_code": "US",
"telephone_number": "904-202-8550",
"fax_number": "904-393-7808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2418 E Plaza Dr",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323085301",
"country_code": "US",
"telephone_number": "850-629-4861",
"fax_number": "850-629-4859",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8705 Perimeter Park Blvd Ste 8",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322166353",
"country_code": "US",
"telephone_number": "904-296-7771",
"fax_number": "904-296-7772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1747 Baptist Clay Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Fleming Island",
"state": "FL",
"postal_code": "320038503",
"country_code": "US",
"telephone_number": "904-202-8550",
"fax_number": "904-393-7808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARIKH",
"first_name": "KHUSHBOO",
"middle_name": "NILESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "303946",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME158753",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "LA",
"license": "303946",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "LA",
"license": "303946",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME158753",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kparikh82911@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kparikh82911@direct.casso.us.com",
"address_1": "433 Plaza St",
"city": "Bogalusa",
"state": "LA",
"country_code": "US",
"postal_code": "704273729",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "433 Plaza St",
"city": "Bogalusa",
"state": "LA",
"country_code": "US",
"postal_code": "704273729",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.