Shahbano Jamali Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME111087 Issued in FL

Practice address

10101 Forest Hill Blvd
Wellington, FL 33414-6103

Phone

(561) 766-1300

NPI assigned

Oct 1, 2008

Last updated

Sep 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accountable Care Hospitalist GroupGroup PAC ID 3678733342, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment Care Compare group NPD
• Hospitalist Group of the Palm Beaches PA

  • Internal Medicine Physician
  • Atlantis, FL
  • NPI 1801249990
  Medicare reassignment NPD
• First Docs PC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1417655465

  FL

  Medicare reassignment NPD
• Chatsworth at Wellington Green LLC

  dba NuVista Living at Wellington Green

  • Skilled Nursing Facility
  • Wellington, FL
  • NPI 1487955654
  NPD
• QMC LLC

  dba QMC Cares

  • Hospitalist Physician
  • Miami, FL
  • NPI 1003216391
  NPD (past)

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

• Wellington Regional Medical Center LLC

  dba Wellington Regional Medical Center

  • General Acute Care Hospital
  • Wellington, FL
  • NPI 1720078702
  Care Compare affiliation

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1306097027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 LARNED CIR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676011696",
            "telephone_number": "407-927-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 FOREST HILL BLVD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146103",
            "telephone_number": "561-766-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4516 larned circle",
            "address_purpose": "LOCATION",
            "city": "hays",
            "state": "KS",
            "postal_code": "67601",
            "country_code": "US",
            "telephone_number": "407-927-4213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAHBANO",
        "middle_name": "JAMALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0434907",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME111087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kerrigan, PSYD
• Marc Jay Kerschner, D.C.,
• Chloe Kessel
• Kevin T Kelly M D PA
• Reem Khalid
• Khhaps Innovative Solutions, LLC (KHHAPS Innovative Billing Solutions)
• Ali Khosravani, MD
• Kid'Z World Advance Inc
• Jayne Kiel, LCSW
• Annmarie Kilinski

• Internal Medicine Physician in Wellington, FL
• Providers in Wellington, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.