Khalid Yaqoob, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME91454 Issued in FL

Practice address

450 W State Road 434
Ste 301
Longwood, FL 32750-5187

Phone

(407) 767-8200

Fax

(407) 339-1200

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, FL, WI3 enrollments

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 3

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Internal Medicine LLCGroup PAC ID 5698131886, 4 clinicians

Longwood Medical Group PAGroup PAC ID 0941198519, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Baptist Health Richmond Hospital, Richmond, KY, CCN 180049
• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1577/brand/1/csg/1/fhir/r4

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.

• Internal Medicine LLC

  dba Longwood Medical Group

  • Interventional Cardiology Physician
  • Longwood, FL
  • NPI 1164161840
  Medicare reassignment Care Compare group NPD
• Longwood Medical Group PA

  • Cardiovascular Disease Physician
  • Longwood, FL
  • NPI 1235323023
  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296
  Medicare reassignment Care Compare group NPD
• Florida Hospital Medical Group Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234
  Medicare reassignment NPD
• Central Florida Cardiology Interpretations LLC

  • Cardiology Technician
  • Sanford, FL
  • NPI 1780807412
  NPD
• Florida Hospital Medical Group Inc

  dba Rothman Orthopaedics AdventHealth Medical Group at Minneola

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD
• Orlando Diagnostic Center Inc

  • Diagnostic Radiology Physician
  • Longwood, FL
  • NPI 1982673414
  NPD

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• Baptist Healthcare System, Inc

  dba Baptist Health Corbin

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation
• Baptist Healthcare System, Inc.

  dba Baptist Health

  • General Acute Care Hospital
  • Richmond, KY
  • NPI 1568452290
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1285686428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W STATE ROAD 434",
            "address_2": "STE 301",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505187",
            "telephone_number": "407-767-8200",
            "fax_number": "407-339-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W STATE ROAD 434",
            "address_2": "STE 301",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505187",
            "telephone_number": "407-767-8200",
            "fax_number": "407-339-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAQOOB",
        "first_name": "KHALID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME91454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Wright, DC
• Nichole Wu
• Darby Wyatt, LMT
• Whitney Wynn
• Emad Y Yacoub, RPH
• Gabrielle Elizabeth Yates, APRN, CPNP-PC
• Daphne Yearwood-Stinchcomb
• Yellow Bird Psychiatry & Wellness PLLC
• Tiffany Lynn Yelvington
• Yhm LLC (Your Health Matters)

• Interventional Cardiology Physician in Longwood, FL
• Providers in Longwood, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.

Verify at the official NPI Registry.