Active NPI
Asma N Khan, DPM
- Foot & Ankle Surgery Podiatrist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO4228
- Practice address
- 4625 E Bay Dr Ste 106
Clearwater, FL 33764-6866 - Phone
- (737) 550-8401
- Fax
- (904) 224-2002
- NPI assigned
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006030 | PA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4228 | FL | Primary |
Addresses
Primary practice location
4625 E Bay Dr Ste 106
Clearwater, FL 33764-6866
Mailing address
4625 E Bay Dr
Clearwater, FL 33764-5738
Phone (727) 434-4468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, WV, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121022000223 | VA | Practitioner - Podiatry | 5597897066 | |
| I20161116000212 | DC | Practitioner - Podiatry | 5597897066 | |
| I20171120001506 | WV | Practitioner - Podiatry | 5597897066 | |
| I20210219000090 | FL | Practitioner - Podiatry | 5597897066 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Timothy C Runyon DPM PAPedirite Medical FL LLC
Practice addresses (Care Compare)
2595 Tampa Rd
Suite O
Palm Harbor, FL 34684-3131
Phone (727) 785-5611
4625 E Bay Dr
Suite 106
Clearwater, FL 33764-6866
Phone (727) 434-4468
60 N Hwy 17 92
Debary, FL 32713-2513
Phone (212) 764-0008
Hospital & facility affiliations
- Trulife Home Health LLC
- Trucare Home Health Solutions LLC
- HCA Florida St Petersburg Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 12 |
| Removal of nail tissue | 2874 |
| Removal or shaving of skin growth | 234 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10440 | WV | MD | Pharmacist |
| PO4228 | FL | MD | Foot & Ankle Surgery Podiatrist |
| 01535 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Director Services PC | Current | Accepting new patients | |
| Timothy C. Runyon, D.P.M. P.a. | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot and Ankle Specialists of Clearwater, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Timothy C. Runyon, DPM, PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Podiatry Company LLC | Current | Accepting new patients | |
| Virginia Foot & Ankle Surgical Associates | Foot & Ankle Surgery | Current | Accepting new patients |
| Podiatry Associates of Florida, Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Pedirite Medical FL LLC | Current | Accepting new patients | |
| Rosedale Podiatry Associates | Foot & Ankle Surgery | Current | Accepting new patients |
| Keystone Podiatric Medical Associates PC | Foot & Ankle Surgery | Past | Accepting new patients |
| Podiatry Associates of Florida, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
669A W Lumsden Rd
Brandon, FL 33511
Phone (813) 654-3354
1003 Del Prado Blvd S
Ste 303
Cape Coral, FL 33990
Phone (239) 689-3843
4625 E Bay Dr
Ste 106
Clearwater, FL 33764
Phone (727) 400-4073
60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426
1740 Edgewood Ave W
Jacksonville, FL 32208
Phone (904) 765-5554
3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185
5911 Timuquana Rd
Unit 300
Jacksonville, FL 32210
Phone (904) 778-3000
5762 SW 60th Ave
Ocala, FL 34474
Phone (352) 237-4544
2140 Kingsley Ave
Ste 12
Orange Park, FL 32073
Phone (904) 272-7070
2595 Tampa Rd
Ste O
Palm Harbor, FL 34684
Phone (727) 785-5611
1401 16th St N
St Petersburg, FL 33704
Phone (727) 894-0794
267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877
301 Mill Rd
Ste U7
Hewlett, NY 11557
103 S Pantops Dr
Ste 201
Charlottesvle, VA 22911
Phone (434) 977-8040
Organizations & group practices 11
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.
-
- Foot & Ankle Surgery Podiatrist
- Clearwater, FL
- NPI 1154010056
FL, Foot & Ankle Surgery
-
- Non-Pharmacy Dispensing Site
- St. Petersburg, FL
- NPI 1093869851
FL, Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Clearwater, FL
- NPI 1255432746
FL, Foot & Ankle Surgery
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
FL
-
- Foot & Ankle Surgery Podiatrist
- Baltimore, MD
- NPI 1336773639
Foot & Ankle Surgery
-
- Non-Pharmacy Dispensing Site
- Fort Myers, FL
- NPI 1023784188
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Charlottesville, VA
- NPI 1760401921
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Jacksonville, FL
- NPI 1841254786
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Harrisburg, PA
- NPI 1376608430
Foot & Ankle Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lakeland, FL
- NPI 1588052120
-
- Home Health Agency
- Land O Lakes, FL
- NPI 1356078182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1659518264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 E BAY DR",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337645738",
"telephone_number": "727-434-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 E BAY DR STE 106",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337646866",
"telephone_number": "737-550-8401",
"fax_number": "904-224-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ASMA",
"middle_name": "N",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006030",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.