NPIMap

Individual provider Active NPI

Wafa K Khadraoui, MD

  • Gynecologic Oncology Physician
  • Miami, FL
National Provider Identifier
1285160200
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME176045 Issued in FL
Practice address
1121 NW 14TH St
Miami, FL 33136-2106
Phone
(305) 689-8001
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 333856 NY
Obstetrics & Gynecology Physician 207V00000X 39 CT
Gynecologic Oncology Physician 207VX0201X ME176045 FL Primary

Addresses

Primary practice location

1121 NW 14TH St
Miami, FL 33136-2106

Mailing address

1121 NW 14TH St
Miami, FL 33136-2106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, FL3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210823001645 OH Practitioner - Obstetrics/Gynecology 8022352087 Reassigns benefits to 1 organization
I20241223000284 NY Practitioner - Gynecological Oncology 8022352087 Reassigns benefits to 1 organization
I20250904002194 FL Practitioner - Obstetrics/Gynecology 8022352087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 689-8648

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39CTMDObstetrics & Gynecology Physician
333856NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System Obstetrics & Gynecology CurrentSince Aug 15, 2021 Accepting new patients
University of Miami Obstetrics & Gynecology CurrentSince Aug 6, 2025 Accepting new patients
Mount Carmel Health System CurrentSince Aug 15, 2021 Accepting new patients
New York University CurrentSince Dec 1, 2024 Accepting new patients
University of Miami CurrentSince Aug 6, 2025 Accepting new patients
New York University Obstetrics & Gynecology CurrentSince Dec 1, 2024 Accepting new patients
University of Miami Current Accepting new patients
RCHP-Wilmington, LLC Past Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

240 E 38th St
New York, NY 10016
Phone (212) 263-6033

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network
  • HealthSun Health Plans Network

Interoperability endpoints

  • Direct secure messaging: wakhadra@yourcarecommunity.org
  • Direct secure messaging: wkhadraoui1426185@direct.trinity-health.org
  • Direct secure messaging: wkhadraoui172584@direct.med.miami.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1285160200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362106",
            "telephone_number": "305-689-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADRAOUI",
        "first_name": "WAFA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "333856",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "39",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME176045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.