Active NPI
Mosammat Khaleda Nayem, PA-C
- Physician Assistant
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9104923
- Practice address
- 601 E Rollins St
Orlando, FL 32803-1248 - Phone
- (407) 303-5600
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9104923 | FL | Primary |
Addresses
Primary practice location
601 E Rollins St
Orlando, FL 32803-1248
Mailing address
PO Box 100848
Palm Bay, FL 32910-0848
Phone (321) 296-9670
Other practice location 1
2500 Discovery Dr
Orlando, FL 32826-3711
Phone (407) 281-7000
Other practice location 2
14807 E Colonial Dr Ste 112
Orlando, FL 32826-5122
Phone (407) 250-6742
Other practice location 3
1650 Sand Lake Rd Ste 112A
Orlando, FL 32809-7671
Phone (407) 286-1829
Other practice location 4
1663 Georgia St NE Ste 500
Palm Bay, FL 32907-2589
Phone (321) 802-9080
Other practice location 5
1507 S Hiawassee Rd Ste 107
Orlando, FL 32835-5706
Phone (407) 445-9545
Other practice location 6
5579 S Orange Ave
Orlando, FL 32809-3493
Phone (407) 241-4800
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 Technology Park
Suite 109
Lake Mary, FL 32746-7107
Phone 4076472346111
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 445-9545
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jai Ho LLC | Current | Accepting new patients | |
| Brevard Emergency Services | Past | Accepting new patients | |
| Cherokee Emergency Services, Inc. | Physician Assistant | Past | Accepting new patients |
Locations
1663 Georgia St NE
Ste 500
Palm Bay, FL 32907
Phone (321) 419-0790
1663 Georgia St NE
Ste 400
Palm Bay, FL 32907
Phone (321) 298-5531
Organizations & group practices 9
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.
-
- Hospitalist Physician
- Lake Mary, FL
- NPI 1679817134
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1902287899
-
- Hospitalist Physician
- Lake Wales, FL
- NPI 1457646903
-
- Hospitalist Physician
- Orlando, FL
- NPI 1063905925
-
- Family Medicine Physician
- Orlando, FL
- NPI 1609321454
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
-
- Family Medicine Physician
- Palm Bay, FL
- NPI 1235507781
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1104870393
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1982643938
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1427012418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100848",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329100848",
"telephone_number": "321-296-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E ROLLINS ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031248",
"telephone_number": "407-303-5600"
}
],
"practiceLocations": [
{
"address_1": "2500 Discovery Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328263711",
"country_code": "US",
"telephone_number": "407-281-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14807 E Colonial Dr Ste 112",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328265122",
"country_code": "US",
"telephone_number": "407-250-6742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1650 Sand Lake Rd Ste 112A",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328097671",
"country_code": "US",
"telephone_number": "407-286-1829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1663 Georgia St NE Ste 500",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329072589",
"country_code": "US",
"telephone_number": "321-802-9080",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1507 S Hiawassee Rd Ste 107",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328355706",
"country_code": "US",
"telephone_number": "407-445-9545",
"fax_number": "407-445-9365",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5579 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328093493",
"country_code": "US",
"telephone_number": "407-241-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAYEM",
"first_name": "MOSAMMAT",
"middle_name": "KHALEDA",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104923",
"primary": true
}
],
"identifiers": [],
"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 2, 2020; 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.