Active NPI
Khaled Fouad Basiouny, M.D.
- Surgical Critical Care Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 0101249902
- Practice address
- 603 7TH St S Ste 500
St Petersburg, FL 33701-4734 - Phone
- (727) 893-6254
- Fax
- (727) 553-7158
- NPI assigned
- Jun 16, 2007
- Last updated
- Oct 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 0101249902 | VA | Primary |
| Surgical Critical Care Physician | 2086S0102X | 2009-00306 | NC | |
| Trauma Surgery Physician | 2086S0127X | MD 041906 | DC | |
| Trauma Surgery Physician | 2086S0127X | 0101249902 | VA | |
| Trauma Surgery Physician | 2086S0127X | 2009-00306 | NC |
Addresses
Primary practice location
603 7TH St S Ste 500
St Petersburg, FL 33701-4734
Mailing address
603 7TH St S Ste 500
St Petersburg, FL 33701-4734
Phone (278) 936-2547
Other practice location 1
2150 Pennsylvania Ave NW
Suite 6B
Washington, DC 20037-3201
Phone (202) 741-3188
Other practice location 2
1 Hospital Dr Ste 4200
Asheville, NC 28801-4550
Phone (828) 213-1994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019313700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Alabama School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1032 Mar Walt Dr
Unit 220
Fort Walton Beach, FL 32547-6661
Phone (850) 374-9610
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000
7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 041906 | DC | MD | Trauma Surgery Physician |
| 2009-00306 | NC | MD | Trauma Surgery Physician |
| 0101249902 | VA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health, Inc. | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Florida Trauma Services, LLC | Trauma Surgery | Current | Accepting new patients |
| Urgent Specialty Associates PLLC | Trauma Surgery | Current | Accepting new patients |
| Ohi West Medical Group, LLC | Trauma Surgery | Current | Accepting new patients |
| Novant Health Prep II LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health Prep II LLC | Current | Accepting new patients | |
| Bryan Medical Center | Past | Accepting new patients | |
| New Hanover Medical Group PA | Past | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
1032 Mar Walt Dr
Unit 220
Ft Walton Bch, FL 32547
Phone (850) 374-9610
1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
603 7th St S
Ste 500
St Petersburg, FL 33701
Phone (727) 822-0442
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500
10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076
1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741
7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100
8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120
10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390
1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
4100 Spring Vly
Ste 250
Farmers Branch, TX 75244
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Interoperability endpoints
- kbasiouny188949@orlandohealth.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Trauma Surgery Physician
- Fort Walton Beach, FL
- NPI 1477296952
-
dba NHMGCR Cape Fear Heart
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
dba Surgical Specialists of Charlotte, part of Novant Health
- Surgery Physician
- Charlotte, NC
- NPI 1952107385
-
dba Bayfront Health St. Petersburg Medical Group
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
Trauma Surgery
-
dba Bayfront Health St. Petersburg Imaging Center
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
dba NHMGCR Physician Specialists
- Internal Medicine Physician
- Wilmington, NC
- NPI 1841877263
-
dba Surgical Specialists of Charlotte, a Novant Health network provider - Huntersville
- Surgery Physician
- Huntersville, NC
- NPI 1518763945
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Fort Walton-Destin Hospital
- General Acute Care Hospital
- Fort Walton Beach, FL
- NPI 1639128820
-
dba Novant Health Matthews Medical Center
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
dba Presbyterian ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
dba Presbyterian Behavioral Health Unit
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
dba Novant Health Presbyterian Medical Center
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
-
dba Novant Health Presbyterian Medical Center - Skilled Nursing Unit
- Skilled Nursing Facility
- Charlotte, NC
- NPI 1891871901
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1467657890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 7TH ST S STE 500",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014734",
"telephone_number": "278-936-2547",
"fax_number": "727-553-7158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 7TH ST S STE 500",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337014734",
"telephone_number": "727-893-6254",
"fax_number": "727-553-7158"
}
],
"practiceLocations": [
{
"address_1": "2150 Pennsylvania Ave NW",
"address_2": "Suite 6B",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200373201",
"country_code": "US",
"telephone_number": "202-741-3188",
"fax_number": "202-741-3219",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Dr Ste 4200",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288014550",
"country_code": "US",
"telephone_number": "828-213-1994",
"fax_number": "828-213-1992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASIOUNY",
"first_name": "KHALED",
"middle_name": "FOUAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-16",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "VA",
"license": "0101249902",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NC",
"license": "2009-00306",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "DC",
"license": "MD 041906",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "VA",
"license": "0101249902",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NC",
"license": "2009-00306",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019313700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.