Active NPI
Khizzar Shaukat, M.D.
- Internal Medicine Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME96259
- Practice address
- 13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926 - Phone
- (813) 779-6303
- Fax
- (888) 977-1998
- NPI assigned
- Jun 17, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 44050-020 | WI | |
| Internal Medicine Physician | 207R00000X | ME96259 | FL | Primary |
| Hospitalist Physician | 208M00000X | ME96259 | FL |
Addresses
Primary practice location
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Mailing address
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34270500 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070505000107 | FL | Practitioner - Hospitalist | 6709787690 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pioneer Medical Group PLFlorida Hospital Physician Group Inc
Practice addresses (Care Compare)
13067 N Telecom Pkwy
Temple Terrace, FL 33637-0926
Phone (813) 779-6303
2700 Healing Way
Wesley Chapel, FL 33543-5453
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Hospital & facility affiliations
- Adventhealth Zephyrhills
- Adventhealth Dade City
- AdventHealth Carrollwood
- Adventhealth Riverview
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44050-020 | WI | MD | Internal Medicine Physician |
| ME96259 | FL | MD | Hospitalist Physician |
Practice roles (10 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Internal Medicine | Current | Accepting new patients |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Pioneer Medical Group, PL | Internal Medicine | Current | Accepting new patients |
| Khizzar Shaukat | Internal Medicine | Current | Accepting new patients |
| Hospitalists of Brandon, LLC. | Past | Accepting new patients | |
| Milwaukee Immediate Care Corporation | Past | Accepting new patients | |
| Advanced Care Hospitalists PL | Hospitalist | Past | Accepting new patients |
| Aurora Health Care Metro, Inc. | Past | Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
515 Chesapeake Dr
Tarpon Springs, FL 34689
Phone (727) 934-4629
13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108
522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975
533 Carlton St
Wauchula, FL 33873
Phone (863) 767-8256
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
2700 Healing Way
Ste 320
Wesley Chapel, FL 33543
Phone (813) 929-5470
38240 Daughtery Rd
Zephyrhills, FL 33540
Phone (813) 788-3582
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
FL, Internal Medicine
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
FL, Internal Medicine
-
- Rural Health Clinic/Center
- Wauchula, FL
- NPI 1396046637
-
- Specialist
- Brandon, FL
- NPI 1548589211
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- Urgent Care Clinic/Center
- Milwaukee, WI
- NPI 1790959138
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1215972161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13067 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370926",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUKAT",
"first_name": "KHIZZAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "44050-020",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME96259",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME96259",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34270500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.