Individual provider Active NPI

Khalil M Afsh, M.D.

  • Vascular Surgery Physician
  • Okeechobee, FL
National Provider Identifier
1255326328
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME68678 Issued in FL
Practice address
301 NE 19TH Dr
Okeechobee, FL 34972-1911
Phone
(863) 467-6767
Fax
(863) 467-1919
NPI assigned
Sep 15, 2005
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0068678 FL
Internal Medicine Physician 207R00000X T1890 TX
Vascular Surgery Physician 2086S0129X ME68678 FL Primary

Addresses

Primary practice location

301 NE 19TH Dr
Okeechobee, FL 34972-1911

Mailing address

900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (239) 313-2517

Other practice location 1

1096 W Indiantown Rd
Jupiter, FL 33458-6855
Phone (561) 222-2220

Other practice location 2

6642 Atlantic Ave
Delray Beach, FL 33446-1616
Phone (561) 921-2221

Other practice location 3

2031 Palm Beach Lakes Blvd # 101
West Palm Beach, FL 33409-6501
Phone (772) 335-3550

Other practice location 4

121 S State Road 7
Wellington, FL 33414-4338
Phone (561) 296-9666

Other practice location 5

600 Village Square Xing
Palm Beach Gardens, FL 33410-4543
Phone (561) 694-9493

Other identifiers 1

IdentifierTypeStateIssuer
015004400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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
I20140505000362 FL Practitioner - Internal Medicine 7517924608 Reassigns benefits to 2 organizations
I20250121001333 TX Practitioner - Internal Medicine 7517924608 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0068678FLMDInternal Medicine Physician
T1890TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Aug 1, 2018 Accepting new patients
Texas Uvc Medical PLLC Vascular Surgery CurrentSince Jan 1, 2025 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince Jun 11, 2025 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Jun 11, 2025 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Srinivas Rao MD PA Vascular Surgery CurrentSince Jan 1, 2025 Accepting new patients
Premier Medical Clinic Internal Medicine PastSince Nov 1, 1999 Accepting new patients
Doctors Memorial Hospital Inc Past Accepting new patients
Water's Edge Dermatology, LLC PastSince May 4, 2025 Accepting new patients

Locations

6642 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 865-1212

7011 A C Skinner Pkwy
Ste 160
Jacksonville, FL 32256
Phone (904) 642-0877

1096 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 222-2200

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039

600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

121 S State Road 7
Wellington, FL 33414
Phone (561) 296-9666

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

635 Medical Pkwy
Brenham, TX 77833
Phone (979) 830-1444

11221 Katy Fwy
Ste 115
Houston, TX 77079
Phone (281) 888-1464

5585 Weslayan St
Houston, TX 77005
Phone (713) 240-4913

1920 Country Place Pkwy
Ste 110
Pearland, TX 77584
Phone (281) 991-8346

9303 Pinecroft Dr
Ste 350
The Woodlands, TX 77380
Phone (281) 292-0121

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23008/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1255326328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552",
            "telephone_number": "239-313-2517",
            "fax_number": "239-313-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721911",
            "telephone_number": "863-467-6767",
            "fax_number": "863-467-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1096 W Indiantown Rd",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334586855",
            "country_code": "US",
            "telephone_number": "561-222-2220",
            "fax_number": "561-222-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6642 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334461616",
            "country_code": "US",
            "telephone_number": "561-921-2221",
            "fax_number": "561-921-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2031 Palm Beach Lakes Blvd # 101",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334096501",
            "country_code": "US",
            "telephone_number": "772-335-3550",
            "fax_number": "772-337-4113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 S State Road 7",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334144338",
            "country_code": "US",
            "telephone_number": "561-296-9666",
            "fax_number": "561-296-9667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Village Square Xing",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104543",
            "country_code": "US",
            "telephone_number": "561-694-9493",
            "fax_number": "561-694-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFSH",
        "first_name": "KHALIL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0068678",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T1890",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME68678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015004400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

Verify at the official NPI Registry.