Individual provider Active NPI

Qamar S Khan, MD

  • Hematology & Oncology Physician
  • Kissimmee, FL
National Provider Identifier
1336149012
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME99453 Issued in FL
Practice address
1300 W Oak St
Kissimmee, FL 34741-4024
Phone
(407) 303-4078
Fax
(407) 303-4083
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 22515 NE
Hematology & Oncology Physician 207RH0003X 036.092778 IL
Hematology & Oncology Physician 207RH0003X ME99453 FL Primary

Addresses

Primary practice location

1300 W Oak St
Kissimmee, FL 34741-4024

Mailing address

1300 W Oak St
Kissimmee, FL 34741-4024
Phone (407) 303-4078

Other identifiers 6

IdentifierTypeStateIssuer
55079992300MedicaidNE
07312OtherNEBLUE CROSS BLUE SHIELD
265133OtherFLAVMED
32792OtherFLBCBS
001742800MedicaidFL
P00029878OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080623000224 FL Practitioner - Hematology/Oncology 0547221178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

1300 W Oak St
Kissimmee, FL 34741-4024
Phone (407) 944-5240

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99453FLMDHematology & Oncology Physician
036.092778ILMDHematology & Oncology Physician
22515NEMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Hematology & Oncology CurrentSince Mar 21, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Mar 21, 2016 Accepting new patients

Locations

400 Celebration Pl
Ste A270
Kissimmee, FL 34747
Phone (407) 303-4078

2400 N Orange Blossom Trl
Ste 207
Kissimmee, FL 34744
Phone (407) 932-6115

1300 W Oak St
Kissimmee, FL 34741
Phone (407) 944-5201

380 Celebration Pl
Fl 2
Kissimmee, FL 34747
Phone (407) 303-4190

2400 N Orange Blossom Trl
Ste 205
Kissimmee, FL 34744
Phone (407) 944-5240

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: qkhan73946@adventhealth.direct-ci.com

Organizations & group practices 2

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1336149012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414024",
            "telephone_number": "407-303-4078",
            "fax_number": "407-303-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414024",
            "telephone_number": "407-303-4078",
            "fax_number": "407-303-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "QAMAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NE",
            "license": "22515",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036.092778",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME99453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55079992300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07312",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "265133",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "32792",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001742800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00029878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.