Individual provider Active NPI

Afzaal Mohammad Khan, APRN

  • Adult Health Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1275130619
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
11009478 Issued in FL
Practice address
1065 NE 125TH St Ste 206
North Miami, FL 33161-5832
Phone
(305) 891-0050
Fax
(305) 891-0497
NPI assigned
Oct 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 11009478 FL
Adult Health Nurse Practitioner 363LA2200X 11009478 FL Primary

Addresses

Primary practice location

1065 NE 125TH St Ste 206
North Miami, FL 33161-5832

Mailing address

1065 NE 125TH St
Ste 300
North Miami, FL 33161-5832
Phone (888) 852-6672

Other practice location 1

6107 Pinewood Rd
Nunnelly, TN 37137-2523
Phone (888) 852-6672

Other practice location 2

7481 W. Oakland Park Blvd Ste 100
Tamarac, FL 33319-4985
Phone (954) 771-7743

Other practice location 3

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

Other names 1

  • Mohammad Afzal Khan Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310000368 FL Practitioner - Nurse Practitioner 5597171983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health Systems PAGroup PAC ID 6204733413, 59 clinicians

Practice addresses (Care Compare)

1065 NE 125TH St
Suite 206
North Miami, FL 33161-5832
Phone (888) 852-6672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11009478FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Systems, P.a. Adult Health CurrentSince Mar 1, 2021 Accepting new patients
Compass Health Systems, P.a. CurrentSince Mar 1, 2021 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste B200
Boynton Beach, FL 33437
Phone (561) 752-9490

1065 NE 125th St
Ste 300
North Miami, FL 33161
Phone (305) 891-0050

1065 NE 125th St
Ste 206
North Miami, FL 33161
Phone (305) 891-0050

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1275130619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST",
            "address_2": "STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 206",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615832",
            "telephone_number": "305-891-0050",
            "fax_number": "305-891-0497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6107 Pinewood Rd",
            "address_purpose": "LOCATION",
            "city": "Nunnelly",
            "state": "TN",
            "postal_code": "371372523",
            "country_code": "US",
            "telephone_number": "888-852-6672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7481 W. OAKLAND PARK BLVD STE 100",
            "address_purpose": "LOCATION",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333194985",
            "country_code": "US",
            "telephone_number": "954-771-7743",
            "fax_number": "954-771-7748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "address_purpose": "LOCATION",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "country_code": "US",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AFZAAL",
        "middle_name": "MOHAMMAD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11009478",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11009478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "KHAN",
            "middle_name": "AFZAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.