Individual provider Active NPI

Nayer N. Khouzam, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Orlando, FL
National Provider Identifier
1356340723
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
48829 Issued in FL
Practice address
3802 Oakwater Cir
Suite 3
Orlando, FL 32806-6200
Phone
(407) 650-0000
Fax
(407) 650-8757
NPI assigned
Jul 19, 2005
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 48829 FL Primary

Addresses

Primary practice location

3802 Oakwater Cir
Suite 3
Orlando, FL 32806-6200

Mailing address

3802 Oakwater Cir
Suite 3
Orlando, FL 32806-6200
Phone (407) 650-0000

Other identifiers 1

IdentifierTypeStateIssuer
375411100MedicaidFL

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
I20100421000108 FL Practitioner - Thoracic Surgery 4082508411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
University of Florida College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3802 Oakwater Cir
Orlando, FL 32806-6200
Phone (407) 650-0000

3802 Oakwater Circle
Suite 3
Orlando, FL 32806-6263

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)14
Pacemaker insertion or repair1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48829FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nayer N. Khouzam, M.D., P.a. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 7, 1997 Accepting new patients

Locations

3802 Oakwater Cir
Ste 3
Orlando, FL 32806
Phone (407) 650-0000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1356340723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 OAKWATER CIR",
            "address_2": "SUITE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066200",
            "telephone_number": "407-650-0000",
            "fax_number": "407-650-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 OAKWATER CIR",
            "address_2": "SUITE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328066200",
            "telephone_number": "407-650-0000",
            "fax_number": "407-650-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOUZAM",
        "first_name": "NAYER",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "48829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375411100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.