Individual provider Active NPI

Sajid Khan, APRN

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1346701018
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11001857 Issued in FL
Practice address
2201 Lucien Way Ste 200
Maitland, FL 32751-7003
Phone
(877) 868-4827
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Vitas Solutions Inc 55 clinicians

Practice addresses (Care Compare)

2201 Lucien Way
Suite 200
Maitland, FL 32751-7003
Phone (877) 868-4827

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200910001016 FL Practitioner - Nurse Practitioner 4688908015 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 22, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 22, 2020 Accepting new patients
Vitas Solutions Inc CurrentSince Aug 17, 2020 Accepting new patients

Locations

5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277

2201 Lucien Way
Ste 200
Maitland, FL 32751
Phone (407) 935-1192

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3720 Executive Way
Miramar, FL 33025

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893

255 E 5th St
Ste 1050
Cincinnati, OH 45202

Interoperability endpoints

  • Direct secure messaging: referral@vitas.direct.kno2fy.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11001857 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2201 Lucien Way Ste 200
Maitland, FL 32751-7003

Mailing address

5012 Olde Kerry Dr
Orlando, FL 32837-4704
Phone (407) 545-1673

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address referral@vitas.direct.kno2fy.com VITAS Solutions Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2021.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1346701018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 OLDE KERRY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374704",
            "telephone_number": "407-545-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LUCIEN WAY STE 200",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517003",
            "telephone_number": "877-868-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAJID",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2021-04-23",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referral@vitas.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "VITAS Solutions Inc",
            "address_1": "3720 Executive Way",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330253946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.