Active NPI
Innova Medical Group and Research Inc
- Multi-Specialty Clinic/Center
- Miami Lakes, FL
National Provider Identifier
1356296503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- INNOVA MEDICAL GROUP AND RESEARCH INC
- Practice address
- 5881 NW 151St St Ste 201
Miami Lakes, FL 33014-2442 - Phone
- (786) 320-3460
- NPI assigned
- Mar 3, 2026
- Last updated
- Apr 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khalil Ahmed Khan, DO
- Title
- President
- Phone
- (786) 320-3460
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | |||
| Family Medicine Physician | 207Q00000X | |||
| Diabetology (Family Medicine) Physician | 207QD0401X | |||
| Clinical & Laboratory Immunology (Internal Medicine) Physician | 207RI0001X | |||
| Dental Clinic/Center | 261QD0000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Research Clinic/Center | 261QR1100X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
5881 NW 151St St Ste 201
Miami Lakes, FL 33014-2442
Mailing address
5881 NW 151St St Ste 201
Miami Lakes, FL 33014-2442
Phone (786) 320-3460
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2342676 | Innova Medical Group and Research Inc | Certificate of waiver | Apr 22, 2028 |
National Provider Directory
National Provider DirectoryLocations
5881 NW 151st St
Ste 201
Miami Lakes, FL 33014
Phone (305) 890-5111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1356296503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5881 NW 151ST ST STE 201",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142442",
"telephone_number": "786-320-3460",
"fax_number": "305-203-0729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5881 NW 151ST ST STE 201",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142442",
"telephone_number": "786-320-3460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVA MEDICAL GROUP AND RESEARCH INC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "KHALIL",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-320-3460",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QD0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Diabetology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical & Laboratory Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
- Bianny Infante, COTA
- Infucenters, LLC (Infucenters)
- Infusal Partners
- Infusecare LLC
- Yelena Inguanzo, LMHC
- Innova Physicians Network LLC (Community Health and Wellnes Centers of Miami)
- Innovative Diagnostic Services, LLC
- Inpatient Healthcare Group PL
- Instamedical LLC
- Institute for Family Centered Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.