Khalid Manzur, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

81287 Issued in FL

Practice address

1462 W Oak Ridge Rd
Orlando, FL 32809-3905

Phone

(407) 888-6990

Fax

(407) 888-3310

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khalid.manzur@mvhg.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GHBFBA/Endpoint/GHBFBA

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.

• Medical Village Healthcare Group

  • Pediatrics Physician
  • Kissimmee, FL
  • NPI 1487621694

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Medical Village Healthcare Group

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1861630626

  Internal Medicine

  NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1447223193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 W OAK RIDGE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093905",
            "telephone_number": "407-888-6990",
            "fax_number": "407-888-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 W OAK RIDGE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328093905",
            "telephone_number": "407-888-6990",
            "fax_number": "407-888-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZUR",
        "first_name": "KHALID",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "81287",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "81287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1487621694",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265886100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "AC081",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priscila Manzanet
• Jennifer C Manzanilla Barrientos, APRN
• Glen Rocky Manzano, M.D.
• Jose Manzo, PT, DPT
• Alondra Manzueta
• Naghma Manzur, FNP
• Rita T Mapa, MD
• Tera D Maple, APRN
• Raneem Maqsood
• Daryl Mar, DO

• Pediatrics Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.