NPIMap

Individual provider Active NPI

Rizwan Khan, D.O

  • Nephrology Physician
  • Clermont, FL
National Provider Identifier
1407169477
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS12544 Issued in FL
Practice address
306 Mohawk Rd
Clermont, FL 34715-7434
Phone
(352) 394-1361
NPI assigned
Jul 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2484 WV
Nephrology Physician 207RN0300X OS12544 FL Primary

Addresses

Primary practice location

306 Mohawk Rd
Clermont, FL 34715-7434

Mailing address

306 Mohawk Rd
Clermont, FL 34715-7434
Phone (352) 394-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140605002089 FL Practitioner - NephrologyPractitioner - Internal Medicine 9335329051 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists of Florida PLLCGroup PAC ID 7214389279, 15 clinicians

Practice addresses (Care Compare)

306 Mohawk Rd
Clermont, FL 34715-7434
Phone (352) 394-1361

508 S Habana Ave
Suite 300
Tampa, FL 33609-4144
Phone (888) 636-4727

Hospital & facility affiliations

  • Bma - West Orlando Dialysis facility, Orlando, FL, CCN 102697
  • FMC - Clermont East Dialysis facility, Clermont, FL, CCN 682518
  • Fresenius Kidney Care-Clermont West Dialysis facility, Groveland, FL, CCN 682642
  • Renal Care Group - Clermont Dialysis facility, Clermont, FL, CCN 102787
  • Dialysis Care Center Leesburg,LLC Dialysis facility, Leesburg, FL, CCN 682620
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Houlton Regional Hospital Hospital, Houlton, ME, CCN 201308
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2484WVMDProfessional Counselor
OS12544FLMDNephrology Physician
5241OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney & Hypertension Specialists of Central Florida Nephrology CurrentSince May 1, 2014 Accepting new patients
Potomac Valley Hospital of W VA , Inc Past Accepting new patients

Locations

600 W North Blvd
Ste B
Leesburg, FL 34748
Phone (352) 315-0050

306 Mohawk Rd
Minneola, FL 34715
Phone (352) 394-1361

10000 W Colonial Dr
Ste 382
Ocoee, FL 34761
Phone (321) 841-2800

10000 W Colonial Dr
Ste 483
Ocoee, FL 34761
Phone (407) 296-1929

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rizwankhan@nst.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1407169477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MOHAWK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347157434",
            "telephone_number": "352-394-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MOHAWK RD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347157434",
            "telephone_number": "352-394-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RIZWAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "2484",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS12544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.