Individual provider Active NPI

Yazan Hani Alkhouri, M.D.

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1598968901
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD2013-0552 Issued in NM
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ME152579OtherFLFL MD LICENSE
MD2013-0552OtherNMNM 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914003655 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8921241472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashchi Heart and Vascular Center PAGroup PAC ID 0941519979, 9 clinicians

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 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting18
Varicose vein removal23
Leg revascularization (restoring blood flow)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashchi Heart & Vascular Center PA Interventional Cardiology CurrentSince Jun 1, 2022 Accepting new patients
Ecg Tampa Bay, LLC PastSince Aug 29, 2021 Accepting new patients

Locations

3900 University Blvd S
Ste A
Jacksonville, FL 32216
Phone (904) 222-6656

Interoperability endpoints

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.