Individual provider Active NPI

Sharif-Uz-Zaman Khan, M.D.

  • Internal Medicine Physician
  • Plant City, FL
National Provider Identifier
1508193715
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME132599 Issued in FL
Practice address
301 N Alexander St
Plant City, FL 33563-4303
Phone
(813) 779-6303
NPI assigned
Nov 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2012019221 MO
Hospitalist Physician 208M00000X ME132599 FL
Internal Medicine Physician 207R00000X 258250 MA
Internal Medicine Physician 207R00000X ME132599 FL Primary

Addresses

Primary practice location

301 N Alexander St
Plant City, FL 33563-4303

Mailing address

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 779-6303

Other practice location 1

123 Summer St
Room 7350
Worcester, MA 01608-1216
Phone (508) 363-5000

Other practice location 2

12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 779-6303

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
I20170712003644 FL Practitioner - Internal MedicinePractitioner - Hospitalist 2769630375 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Hospitalists PLGroup PAC ID 5092753632, 66 clinicians

Practice addresses (Care Compare)

4315 Highland Park Blvd
Suite D
Lakeland, FL 33813-1639
Phone (863) 816-5884

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME132599FLMDInternal Medicine Physician
258250MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc Internal Medicine CurrentSince Mar 3, 2021 Accepting new patients
Sharif Uz Zaman Khan LLC, Internal Medicine Current Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Mar 3, 2021 Accepting new patients
Florida Hospital Physician Group Inc Internal Medicine CurrentSince Mar 3, 2021 Accepting new patients
Advanced Care Hospitalists PL Hospitalist CurrentSince Jun 1, 2017 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Mar 3, 2021 Accepting new patients

Locations

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

4315 Highland Park Blvd
Ste A
Lakeland, FL 33813
Phone (813) 651-1085

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

301 N Alexander St
Plant City, FL 33563
Phone (813) 757-1200

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

12470 Telecom Dr
Ste 100
Temple Terrace, FL 33637
Phone (813) 929-5454

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1508193715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634303",
            "telephone_number": "813-779-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St",
            "address_2": "Room 7350",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-363-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12470 Telecom Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Temple Terrace",
            "state": "FL",
            "postal_code": "336370904",
            "country_code": "US",
            "telephone_number": "813-779-6303",
            "fax_number": "888-977-1998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHARIF-UZ-ZAMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2012019221",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME132599",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "258250",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME132599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.