Individual provider Active NPI

Mohammad Khan, D.O.

  • Dermatopathology (Pathology) Physician
  • Orlando, FL
National Provider Identifier
1285089672
Registry record updated Aug 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
OS21641 Issued in FL
Practice address
1131 S Orange Ave
Orlando, FL 32806-1226
Phone
(941) 444-0011
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 009736 AZ
Dermatopathology Physician 207ND0900X OS21641 FL
Student in an Organized Health Care Education/Training Program 390200000X CA
Dermatopathology (Pathology) Physician 207ZD0900X OS21641 FL Primary

Addresses

Primary practice location

1131 S Orange Ave
Orlando, FL 32806-1226

Mailing address

Onspot Dermatology
1131 South Orange Avenue, Orlando FL 33806
Kissimmee, FL 34741-4709
Phone (480) 659-8226

Other names 1

  • Dr. Mohammad Shehryar Khan Other 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250110001120 FL Practitioner - DermatologyPractitioner - Pathology 0941681878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Nova Southeastern College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onspot-FLGroup PAC ID 3678984937, 43 clinicians

Practice addresses (Care Compare)

1131 S Orange Ave
Orlando, FL 32806-1226
Phone (941) 444-0011

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Onspot-FL Dermatology CurrentSince Jan 15, 2025 Accepting new patients
MVP Medical Practice PC PastSince Jan 15, 2025 Accepting new patients

Locations

16461 Domestic Ave
Fort Myers, FL 33912
Phone (772) 667-7688

13770 Plantation Rd
#103
Fort Myers, FL 33912

1131 S Orange Ave
Orlando, FL 32806
Phone (407) 237-6333

Interoperability endpoints

  • Direct secure messaging: mkhan150452@direct.phhs.org

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755993600000",
    "number": "1285089672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONSPOT DERMATOLOGY",
            "address_2": "1131 SOUTH ORANGE AVENUE, ORLANDO FL 33806",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414709",
            "telephone_number": "480-659-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061226",
            "telephone_number": "941-444-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-08-24",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "009736",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "OS21641",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "OS21641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "KHAN",
            "middle_name": "SHEHRYAR",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.