Active NPI
Ubaid Aslam Khokhar, MD
- Psychiatry Physician
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME112832
- Practice address
- 1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570 - Phone
- (904) 264-6977
- Fax
- (904) 269-0870
- NPI assigned
- Nov 10, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME112832 | FL | Primary |
Addresses
Primary practice location
1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570
Mailing address
1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570
Phone (904) 264-6977
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GJ730Y | Other | FL | MEDICARE |
| ME112832 | Other | FL | FL- MEDICAL LICENSE |
| 005548100 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1543 Kingsley Ave
Suite 14
Orange Park, FL 32073-4570
Phone (904) 264-6977
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 702-6353
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.52 of 100
- Quality
- 78.57
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Coast Psychiatric Services, P.a. | Psychiatry | Current | Accepting new patients |
| Commonwealth of Kentucky | Psychiatry | Past | Accepting new patients |
Locations
1543 Kingsley Ave
Ste 14
Orange Park, FL 32073
Phone (904) 264-6977
Interoperability endpoints
- ubaid.khokhar@hca5.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Orange Park, FL
- NPI 1104222801
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1598869844
-
- Psychiatry Physician
- Orange Park, FL
- NPI 1427621051
-
dba Western State Hospital
- Psychiatric Hospital
- Hopkinsville, KY
- NPI 1508861683
Psychiatry
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1275713935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 KINGSLEY AVE STE 14",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734570",
"telephone_number": "904-264-6977",
"fax_number": "904-269-0870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 KINGSLEY AVE STE 14",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734570",
"telephone_number": "904-264-6977",
"fax_number": "904-269-0870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOKHAR",
"first_name": "UBAID",
"middle_name": "ASLAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-10",
"last_updated": "2023-03-07",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME112832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "GJ730Y",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL- MEDICAL LICENSE",
"identifier": "ME112832",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005548100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.