Khosrow Maleki, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME0026203 Issued in FL

Practice address

917 1St St N
Unit 701
Jacksonville Beach, FL 32250-7198

Phone

(904) 687-5179

NPI assigned

Nov 20, 2006

Last updated

May 8, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4

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.

• North Okaloosa Clinic Corp

  • Internal Medicine Physician
  • Crestview, FL
  • NPI 1659329852

  Orthopaedic Surgery

  NPD (past)
• Forrest City Clinic Company LLC

  • Internal Medicine Physician
  • Forrest City, AR
  • NPI 1821293051
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1396819645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 1ST ST N",
            "address_2": "UNIT 701",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507198",
            "telephone_number": "904-687-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 1ST ST N",
            "address_2": "UNIT 701",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322507198",
            "telephone_number": "904-687-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKI",
        "first_name": "KHOSROW",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME0026203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065167200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyerly Baptist Inc
• Janet Macejak
• Catherine Mackilligan, CCC-SLP
• Troy Mahan
• Gina-Marie Nolan Malejko, ARNP
• Kimberly S Manek, MD
• Mardi Eden Mangus, DPT
• Robert K Mannel, M.D.
• Mark a Messinese MD PA
• Marsh Landing Behavioral Group Inc

• Orthopaedic Surgery Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.