Individual provider Active NPI

Raazia Khan, APRN

  • Family Medicine Physician
  • Royal Palm Beach, FL
National Provider Identifier
1659187680
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11036528 Issued in FL
Practice address
51 Sparrow Dr
Royal Palm Beach, FL 33411-1625
Phone
(561) 722-5112
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11036528 FL Primary

Addresses

Primary practice location

51 Sparrow Dr
Royal Palm Beach, FL 33411-1625

Mailing address

51 Sparrow Dr
Royal Palm Beach, FL 33411-1625
Phone (561) 722-5112

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113000674 FL Practitioner - Nurse Practitioner 1254817943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Urgent Care LLCGroup PAC ID 7214330778, 5 clinicians

Practice addresses (Care Compare)

1749 N Military TRL
Suite a
West Palm Beach, FL 33409-4769
Phone (561) 880-9880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11036528FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Wound Care LLC CurrentSince Nov 13, 2025 Accepting new patients
Vital Urgent Care LLC Family Medicine CurrentSince Nov 13, 2025 Accepting new patients

Locations

1749 N Military Trl
Ste A
West Palm Beach, FL 33409
Phone (561) 223-9846

Interoperability endpoints

  • Direct secure messaging: raazia.khan.1@24662.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24662/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1659187680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SPARROW DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111625",
            "telephone_number": "561-722-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SPARROW DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111625",
            "telephone_number": "561-722-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAAZIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11036528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.