Mohammed I Khan, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

9259780 Issued in FL

Practice address

3501 13TH St
Saint Cloud, FL 34769-4054

Phone

(321) 295-3586

Fax

(407) 891-0213

NPI assigned

Jun 13, 2011

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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wisecare of Florida, P.a.Group PAC ID 3870644222, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mohammed.khan@hca4.eclinicaldirectplus.com

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.

• Wisecare of Florida, P.a.

  • Sports Medicine (Family Medicine) Physician
  • Saint Cloud, FL
  • NPI 1447498688
  Medicare reassignment Care Compare group NPD
• Osceola Surgical Associates LLC

  • Surgery Physician
  • Kissimmee, FL
  • NPI 1700043585
  NPD (past)

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

• Osceolasc LLC

  • General Acute Care Hospital
  • Saint Cloud, FL
  • NPI 1164478442
  Care Compare affiliation

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1306131875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694054",
            "telephone_number": "321-295-3586",
            "fax_number": "407-891-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 13TH ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694054",
            "telephone_number": "321-295-3586",
            "fax_number": "407-891-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMED",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9259780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MOHAMMED.KHAN@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3501 13th St",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347694054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peggy Ann Kennamer-Linn
• Matthew Kennedy, RPH
• Keshav RX LLC
• Randee E. Ketner, M.A. CCC-SLP
• Shauna J Keys, ARNP
• Muhammad Amir Khan, MD
• Rhoda Florance Kiaga, RPH
• Kids Corner Behavior Services Inc
• Seong Cheol Kim, MD
• Deborah Kimble, LD CDE MSPH CPT

• Adult Health Nurse Practitioner in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.