Individual provider Active NPI

Nadeem R. Khan, M.D.

  • Infectious Disease Physician
  • Tampa, FL
National Provider Identifier
1174506703
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME87332 Issued in FL
Practice address
4729 N Habana Ave
Tampa, FL 33614-7113
Phone
(813) 251-8444
Fax
(813) 254-6414
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME87332 FL Primary

Addresses

Primary practice location

4729 N Habana Ave
Tampa, FL 33614-7113

Mailing address

4729 N Habana Ave
Tampa, FL 33614-7113

Other identifiers 1

IdentifierTypeStateIssuer
266840800MedicaidFL

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
I20040421000219 FL Practitioner - Infectious Disease 9638165244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Margarita R Cancio MD PAGroup PAC ID 0345338554, 20 clinicians

Practice addresses (Care Compare)

4729 N Habana Ave
Tampa, FL 33614-7113
Phone (813) 251-8444

5504 Gateway Blvd
Suite 102
Wesley Chapel, FL 33544-1900
Phone 8132518444141

Hospital & facility affiliations

  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME87332FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margarita R Cancio MD PA Infectious Disease CurrentSince Jul 1, 2003 Accepting new patients

Locations

4729 N Habana Ave
Tampa, FL 33614
Phone (813) 251-8444

5504 Gateway Blvd
Ste 102
Wesley Chapel, FL 33544
Phone (813) 251-8444

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: clinical@idatb.directbygreenway.com

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1174506703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147113",
            "telephone_number": "813-251-8444",
            "fax_number": "813-254-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NADEEM",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME87332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266840800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.