NPIMap

Organization Active NPI

Nayer N. Khouzam, M.D., P.a.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Orlando, FL
National Provider Identifier
1396784393
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
Legal business name
NAYER N. KHOUZAM, M.D., P.A.
Practice address
3802 Oakwater Cir
Suite 3
Orlando, FL 32806-6200
Phone
(407) 650-0000
Fax
(407) 650-8757
NPI assigned
Jun 5, 2006
Organization subpart
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

Authorized official

Name
Nayer N. Khouzam, MDNPI 1356340723
Title
Physician/President
Phone
(407) 650-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 2

IdentifierTypeStateIssuer
48829OtherFLME NUMBER
375411100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000411 FL Part B Supplier - Clinic/Group Practice 1153215579 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1396784393",
    "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": {
        "organization_name": "NAYER N. KHOUZAM, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "KHOUZAM",
        "authorized_official_first_name": "NAYER",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "407-650-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "48829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME NUMBER",
            "identifier": "48829",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375411100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.