Individual provider Active NPI

Yaser Sorosh Khalid, DO

  • Internal Medicine Physician
  • Pembroke Pines, FL
National Provider Identifier
1639688286
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
EL31855 Issued in NH
Practice address
17786 SW 2ND St
Pembroke Pines, FL 33029-3923
Phone
(954) 276-5552
NPI assigned
Sep 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H0105134 MD
Internal Medicine Physician 207R00000X OS16952 FL
Internal Medicine Physician 207R00000X EL31855 NH Primary

Addresses

Primary practice location

17786 SW 2ND St
Pembroke Pines, FL 33029-3923

Mailing address

PO Box 810
Hanover, NH 03755-0810
Phone (603) 308-1472

Other practice location 1

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ykhalid245752@MHSDIRECT.NET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI, NH, MD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200727000719 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3375967110
I20220616000885 VI Practitioner - Internal Medicine 3375967110 Reassigns benefits to 1 organization
I20241113002318 NH Practitioner - Internal Medicine 3375967110 Reassigns benefits to 4 organizations
I20251210001593 MD Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 3375967110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

2000 Medical Pkwy
Suite 510
Annapolis, MD 21401-3747
Phone (443) 481-6659

246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-6070

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Cheshire Medical Center Hospital, Keene, NH, CCN 300019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0105134MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheshire Medical Center Internal Medicine CurrentSince Nov 6, 2024 Accepting new patients
Cheshire Medical Center Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Mar 15, 2022 Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine CurrentSince Nov 6, 2024 Accepting new patients
Concord Hospital, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Mar 15, 2022 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Nov 6, 2024 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

2000 Medical Pkwy
Ste 510
Annapolis, MD 21401
Phone (443) 481-4600

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388

580 Court St
Keene, NH 03431
Phone (603) 354-5454

85 Spring St
Ste 2A1
Laconia, NH 03246
Phone (603) 524-1600

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: ykhalid245752@mhsdirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1639688286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037550810",
            "telephone_number": "603-308-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17786 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293923",
            "telephone_number": "954-276-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Court St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311718",
            "country_code": "US",
            "telephone_number": "603-354-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "YASER",
        "middle_name": "SOROSH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "H0105134",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS16952",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "EL31855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ykhalid245752@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17786 SW 2nd St",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330293923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.