Asad Hamid Khan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME114528 Issued in FL

Practice address

927 Beville Rd
Suite # 7
South Daytona, FL 32119-1768

Phone

(386) 269-9009

Fax

(386) 269-9004

NPI assigned

Aug 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medical and Psychiatric Insitiute of Florida, Inc.Group PAC ID 9638396526, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khan.asad.010.0460047@ovmc.meditab.direct-ci.com
• Direct secure messaging: khan.asad.011.0460047@ovmc.meditab.direct-ci.com
• Direct secure messaging: khan.asad.012.0460047@ovmc.meditab.direct-ci.com

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.

• Medical & Psychiatric Insitiute of Florida, Inc.

  • Forensic Psychiatry Physician
  • Port Orange, FL
  • NPI 1205278454
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1629200647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DEEP WOODS WAY",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741848",
            "telephone_number": "304-216-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BEVILLE RD",
            "address_2": "SUITE # 7",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191768",
            "telephone_number": "386-269-9009",
            "fax_number": "386-269-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASAD",
        "middle_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-10",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "WV",
            "license": "18258",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD070752L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME114528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Joseph, RN
• Lukia Kalibbala
• Christopher Scott Kapelka, PTA
• Jennifer Kelly, CD(DONA)
• Brittney Kerchief
• Gohar Shamshad Khan, M.D.
• Susan Rita Kicklighter, MSW
• Kim Kling LMT
• Amber Marie Kingsley, DC, DIBCN
• Marsha Lyn Klopfenstein

• Psychiatry Physician in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.

Verify at the official NPI Registry.