Individual provider Active NPI

Youssef Khalil Khodor, DO

  • Family Medicine Physician
  • Inverness, FL
National Provider Identifier
1437155017
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8274 Issued in FL
Practice address
1907 Highway 44 W
Inverness, FL 34453-3801
Phone
(352) 344-2273
Fax
(352) 344-2204
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8274 FL Primary

Addresses

Primary practice location

1907 Highway 44 W
Inverness, FL 34453-3801

Mailing address

PO Box 2066
Lecanto, FL 34460-2066
Phone (352) 563-0931

Other identifiers 2

IdentifierTypeStateIssuer
51756OtherFLBCBS
264799100MedicaidFL

Other names 1

  • Youssef K Khodor Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@quickcaremed.com Health Information Exchange (HIE)

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
I20070120000057 FL Practitioner - Family Practice 6002817947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Care Med, LLCGroup PAC ID 8325202740, 14 clinicians
Pedim Outreach and Specialty Clinic LLCGroup PAC ID 7315227782, 2 clinicians
Pediatric and Internal Medicine Specialists IncGroup PAC ID 4486672391, 15 clinicians

Practice addresses (Care Compare)

1907 Hwy 44 W
Inverness, FL 34453-3801
Phone (352) 344-2273

1982 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 563-0931

1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pedim Outreach and Specialty Clinic LLC CurrentSince Jan 11, 2022 Accepting new patients
Pediatric and Internal Medicine Specialists Inc Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Quick Care Med LLC Current Accepting new patients
Pediatric and Internal Medicine Specialists Inc Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients
Quick Care Med, LLC Past Accepting new patients

Locations

3925 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 527-7336

2205 N Young Blvd
Chiefland, FL 32626
Phone (352) 535-2273

659 NE US Highway 19
Unit 1
Crystal River, FL 34429
Phone (352) 563-0911

11371 N Williams St
Ste 4
Dunnellon, FL 34432
Phone (352) 465-2273

3956 S Suncoast Blvd
Homosassa, FL 34448
Phone (352) 628-0911

1907 Highway 44 W
Inverness, FL 34453
Phone (352) 344-2273

1982 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6888

1990 N Prospect Ave
Lecanto, FL 34461
Phone (352) 527-6858

2385 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-6888

8119 SW Highway 200
Ocala, FL 34481
Phone (352) 854-9355

514 W Noble Ave
Williston, FL 32696
Phone (352) 528-9355

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1437155017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344602066",
            "telephone_number": "352-563-0931",
            "fax_number": "352-563-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533801",
            "telephone_number": "352-344-2273",
            "fax_number": "352-344-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODOR",
        "first_name": "YOUSSEF",
        "middle_name": "KHALIL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51756",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264799100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@quickcaremed.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1907 Highway 44 W",
            "city": "Inverness",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344533801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "YOUSSEF",
            "last_name": "KHODOR",
            "middle_name": "K",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.