Active NPI
Moeen Khalil, M.D.
- Hospitalist Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME99260
- Practice address
- 300 Pinellas St
Clearwater, FL 33756-3804 - Phone
- (727) 462-7907
- Fax
- (727) 462-7904
- NPI assigned
- Feb 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME99260 | FL | |
| Hospitalist Physician | 208M00000X | ME99260 | FL | Primary |
Addresses
Primary practice location
300 Pinellas St
Clearwater, FL 33756-3804
Mailing address
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7907
Other practice location 1
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279641400 | Medicaid | FL | |
| P00451224 | Other | FL | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | moeen.khalil@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526
6901 Simmons Loop
Riverview, FL 33578-9498
Hospital & facility affiliations
- Morton Plant Hospital
- St Josephs Hospital
- Regency Oaks Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healnexxt Woundcare LLC | Hospitalist | Current | Accepting new patients |
| Moeen Khalil Skilled Nursing Facility Consulting | Internal Medicine | Current | Accepting new patients |
Locations
211 E Main St
Lakeland, FL 33801
Phone (863) 216-8567
3905 Tampa Rd
Unit 814
Oldsmar, FL 34677
Interoperability endpoints
- moeen.khalil@direct.mybaycare.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Safety Harbor, FL
- NPI 1255944104
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1528031358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-462-7907",
"fax_number": "727-462-7904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PINELLAS ST",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563804",
"telephone_number": "727-462-7907",
"fax_number": "727-462-7904"
}
],
"practiceLocations": [
{
"address_1": "3231 McMullen Booth Rd",
"address_purpose": "LOCATION",
"city": "Safety Harbor",
"state": "FL",
"postal_code": "346956607",
"country_code": "US",
"telephone_number": "727-725-6526",
"fax_number": "727-266-4931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALIL",
"first_name": "MOEEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME99260",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME99260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279641400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00451224",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "moeen.khalil@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew Street",
"address_2": "East Bldg 2nd Floor",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "33759",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.