Individual provider Active NPI

Khader Muqtadir, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Tampa, FL
National Provider Identifier
1619196185
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
ME 98421 Issued in FL
Practice address
13905 Bruce B Downs Blvd Ste B
Tampa, FL 33613-3998
Phone
(813) 978-9494
Fax
(813) 979-4817
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X ME 98421 FL Primary

Addresses

Primary practice location

13905 Bruce B Downs Blvd Ste B
Tampa, FL 33613-3998

Mailing address

13905 Bruce B Downs Blvd Ste B
Tampa, FL 33613-3998
Phone (813) 978-9494

Other identifiers 2

IdentifierTypeStateIssuer
01372OtherFLBCBSFL
161339600OtherFLDOL

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
I20081025000050 FL Practitioner - Hand Surgery 3779641311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
State University of New York at Buffalo School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Bay Hand Center, P.aGroup PAC ID 7416015052, 3 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

13905 Bruce B Downs Blvd
Suite B
Tampa, FL 33613-3998
Phone (813) 978-9494

3411 S Dale Mabry Hwy
Suite a Select Physical Therapy
Tampa, FL 33629-8658
Phone (813) 742-9501

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 98421FLMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Hand Surgery Center, P.a. CurrentSince Feb 21, 1994 Accepting new patients
Tampa Bay Hand Center, P.a. Surgery of the Hand CurrentSince Oct 9, 2008 Accepting new patients

Locations

13905 Bruce B Downs Blvd
Ste B
Tampa, FL 33613
Phone (813) 978-9494

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1619196185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13905 BRUCE B DOWNS BLVD STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133998",
            "telephone_number": "813-978-9494",
            "fax_number": "813-979-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13905 BRUCE B DOWNS BLVD STE B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133998",
            "telephone_number": "813-978-9494",
            "fax_number": "813-979-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUQTADIR",
        "first_name": "KHADER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME 98421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "01372",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "161339600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.