Individual provider Active NPI

Milena Khorshid, M.D.

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1235265349
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME149588 Issued in FL
Practice address
6110 State Road 70 E
Bradenton, FL 34203-9712
Phone
(941) 755-4242
Fax
(941) 755-1906
NPI assigned
Feb 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 ME149588 FL Primary

Addresses

Primary practice location

6110 State Road 70 E
Bradenton, FL 34203-9712

Mailing address

PO Box 25487
Sarasota, FL 34277-2487
Phone (941) 202-5342

Other identifiers 2

IdentifierTypeStateIssuer
336073097OtherILIL CONTROLLED SUBSTANCE
036111568MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041220000968 IL Practitioner - Internal Medicine 2567420789 Reassigns benefits to 1 organization
I20210915000463 FL Practitioner - Internal Medicine 2567420789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

6110 State Rd 70
Primecare of Manatee
Bradenton, FL 34203-9712
Phone (941) 755-4242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME149588FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists LLC CurrentSince Aug 30, 2021 Accepting new patients
Florida Medical Specialists LLC Current Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Nov 11, 2017 Accepting new patients
Florida Medical Specialists LLC Internal Medicine CurrentSince Aug 30, 2021 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Nov 11, 2017 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Coastal Cardiovascular Consultants PLLC Past Accepting new patients
Florida Medical Specialists LLC Internal Medicine Past Accepting new patients
Best Value Healthcare LLC Internal Medicine Past Accepting new patients

Locations

6110 State Road 70 E
Bradenton, FL 34203
Phone (941) 745-6950

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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 1

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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235265349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25487",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772487",
            "telephone_number": "941-202-5342",
            "fax_number": "855-253-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 STATE ROAD 70 E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342039712",
            "telephone_number": "941-755-4242",
            "fax_number": "941-755-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSHID",
        "first_name": "MILENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-25",
        "last_updated": "2023-03-07",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME149588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL CONTROLLED SUBSTANCE",
            "identifier": "336073097",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111568",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.