Active NPI
Moeen Khalil Skilled Nursing Facility Consulting
- Internal Medicine Physician
- Safety Harbor, FL
National Provider Identifier
1255944104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MOEEN KHALIL SKILLED NURSING FACILITY CONSULTING
- Practice address
- 3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607 - Phone
- (727) 725-6526
- Fax
- (727) 266-4531
- NPI assigned
- Aug 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moeen Khalil, MD
- Title
- Owner
- Phone
- (727) 725-6526
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Mailing address
PO Box 10744
Clearwater, FL 33757-8744
Phone (727) 725-6526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3905 Tampa Rd
Unit 814
Oldsmar, FL 34677
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598572800000",
"number": "1255944104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10744",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337578744",
"telephone_number": "727-725-6526",
"fax_number": "727-266-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 MCMULLEN BOOTH RD",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346956607",
"telephone_number": "727-725-6526",
"fax_number": "727-266-4531"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOEEN KHALIL SKILLED NURSING FACILITY CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-28",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "MOEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "727-725-6526",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Safety Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.