Active NPI
Nazeer H Khan, M.D.
- Internal Medicine Physician
- New Port Richey, FL
National Provider Identifier
1639178148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 84975
- Practice address
- 7700 Massachusetts Ave
New Port Richey, FL 34653-3024 - Phone
- (813) 679-9992
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 84975 | FL | Primary |
Addresses
Primary practice location
7700 Massachusetts Ave
New Port Richey, FL 34653-3024
Mailing address
7700 Massachusetts Ave
New Port Richey, FL 34653-3024
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104906 | Other | IL | IL STATE LICENSE |
| ME84975 | Other | FL | FL. LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 84975 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skokie Emergency Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physician Assistant
- Skokie, IL
- NPI 1750349494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1639178148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 MASSACHUSETTS AVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346533024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 MASSACHUSETTS AVE",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346533024",
"telephone_number": "813-679-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "NAZEER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 84975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL STATE LICENSE",
"identifier": "036104906",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL. LICENSE NUMBER",
"identifier": "ME84975",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.