Individual provider Active NPI

Amine Khachani, M.D.

  • Obstetrics & Gynecology Physician
  • Homestead, FL
National Provider Identifier
1265745053
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME121953 Issued in FL
Practice address
810 W Mowry Dr
Homestead, FL 33030-5746
Phone
(053) 248-4334
NPI assigned
Jul 21, 2010
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 4301096267 MI
Obstetrics & Gynecology Physician 207V00000X 036.143468 IL
Obstetrics & Gynecology Physician 207V00000X ME121953 FL Primary

Addresses

Primary practice location

810 W Mowry Dr
Homestead, FL 33030-5746

Mailing address

810 W Mowry Dr
Homestead, FL 33030-5746
Phone (305) 248-4334

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211019000735 FL Practitioner - Obstetrics/Gynecology 9931342516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Group LLCGroup PAC ID 5193866838, 127 clinicians

Practice addresses (Care Compare)

1000 W Moreno St
Pensacola, FL 32501-2316
Phone (864) 908-3530

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301096267MIMDInternal Medicine Physician
036.143468ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health of South Florida Inc Current Accepting new patients
Community Health of South Florida, Inc CurrentSince Jul 16, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 26, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Community Health of South Florida Inc CurrentSince Jul 16, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 26, 2023 Accepting new patients

Locations

10300 SW 216th St
Cutler Bay, FL 33190

810 W Mowry Dr
Homestead, FL 33030
Phone (305) 248-4334

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 6

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.

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1265745053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W MOWRY DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305746",
            "telephone_number": "305-248-4334",
            "fax_number": "305-245-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W MOWRY DR",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330305746",
            "telephone_number": "053-248-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHACHANI",
        "first_name": "AMINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301096267",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036.143468",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME121953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.