Active NPI
Rafay Tariq Khan, M.D.
- Interventional Cardiology Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME165341
- Practice address
- 910 Williston Park PT Ste 1000
Lake Mary, FL 32746-2163 - Phone
- (407) 833-8028
- Fax
- (407) 833-8033
- NPI assigned
- Apr 7, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 148112 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | TP719 | KY | |
| Interventional Cardiology Physician | 207RI0011X | 56767 | KY | |
| Interventional Cardiology Physician | 207RI0011X | ME165341 | FL | Primary |
Addresses
Primary practice location
910 Williston Park PT Ste 1000
Lake Mary, FL 32746-2163
Mailing address
770 W Granada Blvd Ste 101
Ormond Beach, FL 32174-5179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100824510 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Saxon Blvd
Orange City, FL 32763-8468
Phone (386) 917-5000
Hospital & facility affiliations
- Adventhealth Fish Memorial
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.96 of 100
- Quality
- 56.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.73
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148112 | CA | MD | Internal Medicine Physician |
| ME165341 | FL | MD | Interventional Cardiology Physician |
| 56767 | KY | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Internal Medicine | Current | Accepting new patients |
| University of Louisville Physicians, Inc | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| Upson Surgical Associates, LLC | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Post Acute Specialists of Florida PLLC | Internal Medicine | Current | Accepting new patients |
| Upson Family Physicians, LC | Past | Accepting new patients |
Locations
910 Williston Park Pt
Ste 1000
Lake Mary, FL 32746
Phone (407) 803-8028
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
770 W Granada Blvd
Ste 101
Ormond Beach, FL 32174
Phone (386) 231-4519
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060
508 S Habana Ave
Ste 300
Tampa, FL 33609
Phone (813) 877-6770
612 W Gordon St
Ste C
Thomaston, GA 30286
Phone (706) 646-5712
612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433
612 W Gordon St
Ste E
Thomaston, GA 30286
Phone (706) 647-3030
7752 Solution Ctr
Chicago, IL 60677
401 E Chestnut St
Unit 310
Louisville, KY 40202
Phone (502) 584-8563
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1992571608
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
- Surgery Physician
- Thomaston, GA
- NPI 1790076974
-
- Vascular Surgery Physician
- Louisville, KY
- NPI 1356611909
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
-
- Family Medicine Physician
- Thomaston, GA
- NPI 1083842918
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1194258012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 W GRANADA BLVD STE 101",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 WILLISTON PARK PT STE 1000",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462163",
"telephone_number": "407-833-8028",
"fax_number": "407-833-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "RAFAY",
"middle_name": "TARIQ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-07",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "148112",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "TP719",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "KY",
"license": "56767",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME165341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100824510",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.