Maan Elkhatib, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME159905 Issued in FL

Practice address

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Phone

(850) 862-1111

NPI assigned

Nov 21, 2022

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 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

Diagnostic Radiology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223
• HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
• Central Florida Lake Monroe Hospital Hospital, Sanford, FL, CCN 100161
• HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254
• Ucf Lake Nona Hospital Hospital, Orlando, FL, CCN 100350

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Mori Bean and Brooks Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  FL, Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Medical Evaluators Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Panama City, FL
  • NPI 1679561526
  NPD
• Sheridan Radiology Services of Central Florida Inc

  • Diagnostic Radiology Physician
  • Sanford, FL
  • NPI 1487708814
  NPD
• Sheridan Radiology Services of Central Florida, Inc.

  • Diagnostic Radiology Physician
  • Fort Lauderdale, FL
  • NPI 1275997934
  NPD (past)

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

• Central Florida Regional Hospital, Inc

  • General Acute Care Hospital
  • Sanford, FL
  • NPI 1285681908

  Hospital

  Care Compare affiliation
• CFHS Sub I, LLC

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1871193664

  Hospital

  Care Compare affiliation
• Fort Walton Beach Medical Center, Inc.

  • General Acute Care Hospital
  • Ft Walton Beach, FL
  • NPI 1639128820

  Hospital

  Care Compare affiliation
• Osceola Regional Hospital, Inc.

  • General Acute Care Hospital
  • Kissimmee, FL
  • NPI 1689621450

  Hospital

  Care Compare affiliation
• Tallahassee Medical Center Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1790732303

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1316656192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BARCELONA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145318",
            "telephone_number": "424-200-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-862-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKHATIB",
        "first_name": "MAAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME159905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie a. Negron, M.D., P.a.
• George D. Edlund,, O.D., P.A.
• Amanda Edwards
• Eleanor a. McCain, M. D., P. a.
• Farah Sophonie Elifils, OTD, OTR/L
• Ellington Eyecare PLLC
• Ann Marie Elliott, COTA/L
• Tracey Kelly Elliott, PT
• Howland Hiram Ellis
• Kay Alycen Ellis

• Vascular & Interventional Radiology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.