Individual provider Active NPI

MHD Khaled Bowarshi, MD

  • Psychiatry Physician
  • Wesley Chapel, FL
National Provider Identifier
1407135643
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME138416 Issued in FL
Practice address
26843 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4618
Phone
(813) 867-2378
Fax
(833) 214-9581
NPI assigned
Aug 5, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME138416 FL Primary

Addresses

Primary practice location

26843 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4618

Mailing address

26843 Tanic Dr Ste 101
Wesley Chapel, FL 33544-4618
Phone (813) 867-2378

Other identifiers 2

IdentifierTypeStateIssuer
1407406366OtherGROUP NPI
105751500MedicaidFL

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
I20190115001191 FL Practitioner - PsychiatryPractitioner - Internal Medicine 2769632983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26843 Tanic Dr
Suite 101
Wesley Chapel, FL 33544-4618
Phone (813) 867-3646

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida TMS Clinic Psychiatry CurrentSince Oct 1, 2019 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Tyler Radiology Associates PA Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

26843 Tanic Dr
Ste 101
Wesley Chapel, FL 33544
Phone (813) 867-2378

10420 Old Olive Street Rd
Ste 104
Saint Louis, MO 63141
Phone (314) 497-0500

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1407135643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26843 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444618",
            "telephone_number": "813-867-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26843 TANIC DR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335444618",
            "telephone_number": "813-867-2378",
            "fax_number": "833-214-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWARSHI",
        "first_name": "MHD KHALED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME138416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1407406366",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105751500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.