Active NPI
MHD Khaled Bowarshi, MD
- Psychiatry Physician
- Wesley Chapel, FL
National Provider Identifier
1407135643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME138416
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407406366 | Other | GROUP NPI | |
| 105751500 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida TMS Clinic | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Wesley Chapel, FL
- NPI 1407406366
-
- Psychiatric Hospital Unit
- Charleston, WV
- NPI 1265421226
-
- General Acute Care Hospital
- Charleston, WV
- NPI 1952390239
-
- Diagnostic Radiology Physician
- Tyler, TX
- NPI 1750341277
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.