Individual provider Active NPI

Tanzeela Khan, M.D.

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1194039610
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 116720 Issued in FL
Practice address
2400 N University Dr Ste 215
Pembroke Pines, FL 33024-3629
Phone
(754) 221-0456
Fax
(754) 221-0457
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 116720 FL Primary

Addresses

Primary practice location

2400 N University Dr Ste 215
Pembroke Pines, FL 33024-3629

Mailing address

603 N Flamingo Rd
Suite 150
Pembroke Pines, FL 33028-1023
Phone (419) 343-6076

Other names 1

  • Tanzeela Yumeen 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
I20130814000452 FL Practitioner - Internal Medicine 6608018064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2400 N University Dr
Pembroke Pines, FL 33024-3629
Phone (754) 221-0456

Hospital & facility affiliations

  • Pines Home Health Care Services Inc Home health agency, Davie, FL, CCN 107780
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 116720FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Tierra Medical Group Corp CurrentSince Nov 1, 2023 Accepting new patients
QMC LLC CurrentSince May 19, 2019 Accepting new patients
Global Medical Care of Florida Internal Medicine CurrentSince Aug 11, 2016 Accepting new patients
Mi Tierra Medical Group Corp PastSince Aug 1, 2025 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

14201 SW 120th St
Ste 110
Miami, FL 33186
Phone (786) 238-7492

14221 SW 120th St
Ste 221
Miami, FL 33186

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

2400 N University Dr
Ste 215
Pembroke Pines, FL 33024
Phone (754) 221-0456

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Organizations & group practices 4

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 2

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1194039610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N FLAMINGO RD",
            "address_2": "SUITE 150",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281023",
            "telephone_number": "419-343-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N UNIVERSITY DR STE 215",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243629",
            "telephone_number": "754-221-0456",
            "fax_number": "754-221-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "TANZEELA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 116720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANZEELA",
            "last_name": "YUMEEN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.