Individual provider Active NPI

Ghazanfar A Khan, M.D.

  • Psychiatry Physician
  • Wesley Chapel, FL
National Provider Identifier
1437327756
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME123337 Issued in FL
Practice address
27716 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6962
Phone
(813) 540-1466
Fax
(813) 990-0222
NPI assigned
Feb 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X ME123337 FL
Psychiatry Physician 2084P0800X ME123337 FL Primary

Addresses

Primary practice location

27716 Cashford Cir Ste 101
Wesley Chapel, FL 33544-6962

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ghazanfar.KhanMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Associates LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, ME, SC, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160119000563 FL Practitioner - Psychiatry 9537326806 Reassigns benefits to 2 organizations
I20230921004158 ME Practitioner - Psychiatry 9537326806 Reassigns benefits to 1 organization
I20240402002269 SC Practitioner - Psychiatry 9537326806 Reassigns benefits to 1 organization
I20240909004094 MI Practitioner - Psychiatry 9537326806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Psychiatric Health IncGroup PAC ID 7810290384, 26 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians

Practice addresses (Care Compare)

27716 Cashford Cir
Suite 101
Wesley Chapel, FL 33544-6962
Phone (813) 540-1466

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91380SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Northern Michigan CurrentSince Jul 19, 2024 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Aug 8, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 19, 2024 Accepting new patients
St. Mary'S Regional Medical Center Psychiatry Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Aug 8, 2023 Accepting new patients
Musc Community Physicians CurrentSince Feb 26, 2024 Accepting new patients
Baycare Behavioral Health Associates LLC Psychiatry CurrentSince Aug 31, 2023 Accepting new patients
Musc Community Physicians CurrentSince Feb 26, 2024 Accepting new patients
St. Mary'S Regional Medical Center Past Accepting new patients
Partners in Medicine & Surgery, P.a. PastSince Jan 1, 2023 Accepting new patients

Locations

21808 State Road 54
Lutz, FL 33549
Phone (727) 315-8612

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

330 Sabattus St
Lewiston, ME 04240
Phone (207) 777-4300

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gkhan@advancedph.kareodirect.com
  • Direct secure messaging: ghazanfar.khanmd@direct.mybaycare.org

Organizations & group practices 12

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": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1437327756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27716 CASHFORD CIR STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446962",
            "telephone_number": "813-540-1466",
            "fax_number": "813-990-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "GHAZANFAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME123337",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME123337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ghazanfar.KhanMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Associates LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27716 Cashford Cir Ste 101",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335446962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.