Individual provider Active NPI

Khaled Almulhem, MD

  • Emergency Medicine Physician
  • Gainesville, FL
National Provider Identifier
1497018576
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME128798 Issued in FL
Practice address
1515 SW Archer Road
Gainesville, FL 32610-3001
Phone
(352) 265-5911
Fax
(352) 265-5606
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME128798 FL Primary

Addresses

Primary practice location

1515 SW Archer Road
Gainesville, FL 32610-3001

Mailing address

1600 SW Archer Rd
Box 100371
Gainesville, FL 32610-3001
Phone (352) 265-8335

Other identifiers 1

IdentifierTypeStateIssuer
018886300MedicaidFL

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
I20161209000537 FL Practitioner - Diagnostic RadiologyPractitioner - Emergency Medicine 9739469750 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Nov 30, 2016 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Nov 30, 2016 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Jan 1, 2022 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2897 SE Maricamp Rd
Ocala, FL 34471
Phone (352) 401-1033

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

Organizations & group practices 4

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1497018576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "BOX 100371",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-265-8335",
            "fax_number": "352-265-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SW ARCHER ROAD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-265-5911",
            "fax_number": "352-265-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMULHEM",
        "first_name": "KHALED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME128798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018886300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.