Individual provider Active NPI

Mosammat Khaleda Nayem, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1427012418
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104923 Issued in FL
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

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090508000530 FL Practitioner - Physician Assistant 3476514522 Reassigns benefits to 6 organizations

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
Inpatient Care Specialists LLCGroup PAC ID 0345493623, 101 clinicians
Orlando Inpatient Medicine PAGroup PAC ID 0749598316, 54 clinicians

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

OrganizationSpecialtyStatusNew patients
Jai Ho LLC CurrentSince Nov 11, 2023 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.