Active NPI
Yazan Hani Alkhouri, M.D.
- Interventional Cardiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD2013-0552
- Practice address
- 3010 E 138TH Ave Ste 12
Tampa, FL 33613-3999 - Phone
- (813) 975-2800
- Fax
- (813) 977-7924
- NPI assigned
- Jun 6, 2007
- Last updated
- Aug 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD2013-0552 | NM | Primary |
Addresses
Primary practice location
3010 E 138TH Ave Ste 12
Tampa, FL 33613-3999
Mailing address
3010 E 138TH Ave Ste 12
Tampa, FL 33613-3999
Phone (813) 975-2800
Other practice location 1
400 Military Heights Pl
Roswell, NM 88201-6407
Phone (575) 627-9500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME152579 | Other | FL | FL MD LICENSE |
| MD2013-0552 | Other | NM | NM MD LICENSE |
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
- Interventional Cardiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 University S Blvd a
Jacksonville, FL 32216-4391
Phone (904) 222-6656
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 18 |
| Varicose vein removal | 23 |
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashchi Heart & Vascular Center PA | Interventional Cardiology | Current | Accepting new patients |
| Ecg Tampa Bay, LLC | Past | Accepting new patients |
Locations
3900 University Blvd S
Ste A
Jacksonville, FL 32216
Phone (904) 222-6656
Interoperability endpoints
- yalkhouri740672@direct.shands.ufl.edu
Organizations & group practices 2
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.
-
- Interventional Cardiology Physician
- Jacksonville, FL
- NPI 1447635834
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1598178899
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1598968901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 E 138TH AVE STE 12",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133999",
"telephone_number": "813-975-2800",
"fax_number": "813-977-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 E 138TH AVE STE 12",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133999",
"telephone_number": "813-975-2800",
"fax_number": "813-977-7924"
}
],
"practiceLocations": [
{
"address_1": "400 Military Heights Pl",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "NM",
"postal_code": "882016407",
"country_code": "US",
"telephone_number": "575-627-9500",
"fax_number": "575-627-9535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALKHOURI",
"first_name": "YAZAN",
"middle_name": "HANI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NM",
"license": "MD2013-0552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MD LICENSE",
"identifier": "ME152579",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM MD LICENSE",
"identifier": "MD2013-0552",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.