Active NPI
Khalil Masabni, M.D.
- Vascular Surgery Physician
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME157128
- Practice address
- 960 Rinehart Rd Ste 2060
Lake Mary, FL 32746-1563 - Phone
- (407) 225-5557
- Fax
- (888) 355-7757
- NPI assigned
- Apr 1, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | EMC0003827 | MI | |
| Vascular Surgery Physician | 2086S0129X | 2024029893 | MO | |
| Vascular Surgery Physician | 2086S0129X | ME157128 | FL | Primary |
Addresses
Primary practice location
960 Rinehart Rd Ste 2060
Lake Mary, FL 32746-1563
Mailing address
960 Rinehart Rd Ste 2060
Lake Mary, FL 32746-1563
Phone (561) 957-7555
Other practice location 1
802 N Riverside Rd Ste 200
Saint Joseph, MO 64507-2553
Phone (816) 271-6666
Other practice location 2
5250 Auto Club Dr Ste 300
Dearborn, MI 48126-2619
Phone (520) 559-3888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200145538 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL, MI
- 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
- Vascular Surgery
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500
775 Primera Blvd
Suite 1031
Lake Mary, FL 32746-2190
Phone (561) 957-7555
901 Heartland Rd
Saint Joseph, MO 64506-6201
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EMC0003827 | MI | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Vascular Clinic PLLC | Vascular Surgery | Current | Accepting new patients |
| Michigan Vascular Surgery PLLC | Vascular Surgery | Current | Accepting new patients |
| Heartland Regional Medical Center | Surgery | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Surgery | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Macon Cardiovascular Institute | Surgery | Past | Accepting new patients |
| Central Georiga Fertility Institute | Past | Accepting new patients |
Locations
410 Celebration Pl
Ste 402
Kissimmee, FL 34747
Phone (407) 296-1871
960 Rinehart Rd
Ste 2060
Lake Mary, FL 32746
Phone (407) 499-2826
775 Primera Blvd
Ste 1031
Lake Mary, FL 32746
Phone (407) 333-9766
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
5250 Auto Club Dr
Ste 300
Dearborn, MI 48126
Phone (313) 724-9000
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
802 N Riverside Rd
Ste 200
Saint Joseph, MO 64507
Phone (816) 271-6666
5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
2115 S Fremont Ave
Ste 5000
Springfield, MO 65804
Phone (417) 820-3912
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFHIDD/Endpoint/JFHIDD
- khalil.masabni.1@2697.direct.athenahealth.com
- drkhalilmasabni@vascular4ed.kareodirect.com
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.
-
- Vascular Surgery Physician
- Lake Mary, FL
- NPI 1922896240
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
-
- Vascular Surgery Physician
- Dearborn, MI
- NPI 1437969920
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Surgery
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
dba Mosaic Life Care
- General Practice Physician
- Saint Joseph, MO
- NPI 1538200357
Surgery
-
dba Mosaic Life Care at St. Joseph Acute Rehab
- Rehabilitation Hospital Unit
- Saint Joseph, MO
- NPI 1841385093
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
-
- Surgery Physician
- Macon, GA
- NPI 1104866599
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Port Charlotte
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba Mosaic Life Care at St Joseph Medical Center
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1497173017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 RINEHART RD STE 2060",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461563",
"telephone_number": "561-957-7555",
"fax_number": "888-355-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 RINEHART RD STE 2060",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327461563",
"telephone_number": "407-225-5557",
"fax_number": "888-355-7757"
}
],
"practiceLocations": [
{
"address_1": "802 N Riverside Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645072553",
"country_code": "US",
"telephone_number": "816-271-6666",
"fax_number": "816-271-1300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5250 Auto Club Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481262619",
"country_code": "US",
"telephone_number": "520-559-3888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASABNI",
"first_name": "KHALIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "EMC0003827",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2024029893",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME157128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200145538",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.