NPIMap

Individual provider Active NPI

Khalid Maqsood, M.D.

  • Gastroenterology Physician
  • Clermont, FL
National Provider Identifier
1629047378
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
048800 Issued in GA
Practice address
821 Oakley Seaver Dr
Clermont, FL 34711-1968
Phone
(352) 242-1665
Fax
(352) 243-1649
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 048800 GA Primary

Addresses

Primary practice location

821 Oakley Seaver Dr
Clermont, FL 34711-1968

Mailing address

PO Box 120930
Clermont, FL 34712-0930
Phone (352) 242-1665

Other identifiers 2

IdentifierTypeStateIssuer
41557OtherFLBCBS
P00626704OtherFLPALMETTO GBA- RR MCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080625000119 FL Practitioner - Gastroenterology 8820169444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Lake Gastroenterology IncGroup PAC ID 9436168796, 5 clinicians

Practice addresses (Care Compare)

2040 Oakley Seaver Dr
Clermont, FL 34711-1962
Phone (352) 242-1665

Hospital & facility affiliations

  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score
86.01 of 100Reported as group
Quality
80.12
Promoting interoperability
95
Improvement activities
40
Cost
72.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy130
Upper gastrointestinal (GI) endoscopy for acid reflux204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048800GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lake Gastroenterology Inc CurrentSince Aug 1, 2008 Accepting new patients
The Baxley and Appling County Hospital Authority Past Accepting new patients

Locations

821 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 242-1665

2040 Oakley Seaver Dr
Clermont, FL 34711
Phone (352) 242-1665

2302 North Blvd W
Davenport, FL 33837

201 Mohawk Rd
Ste 100
Minneola, FL 34715

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJABCA

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 6

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1629047378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120930",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347120930",
            "telephone_number": "352-242-1665",
            "fax_number": "352-243-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 OAKLEY SEAVER DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111968",
            "telephone_number": "352-242-1665",
            "fax_number": "352-243-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAQSOOD",
        "first_name": "KHALID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "048800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "41557",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA- RR MCARE",
            "identifier": "P00626704",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.