Individual provider Active NPI

Asma N Khan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1659518264
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4228 Issued in FL
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

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 4486568250, 8 clinicians
Pedirite Medical FL LLCGroup PAC ID 7113336843, 14 clinicians

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 Home health agency, Land O Lakes, FL, CCN 687258
  • Trucare Home Health Solutions LLC Home health agency, Lakeland, FL, CCN 687014
  • HCA Florida St Petersburg Hospital Hospital, Saint Petersburg, FL, CCN 100180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of nail tissue2874
Removal or shaving of skin growth234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10440WVMDPharmacist
PO4228FLMDFoot & Ankle Surgery Podiatrist
01535MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Jun 1, 2023 Accepting new patients
Timothy C. Runyon, D.P.M. P.a. Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients
Foot and Ankle Specialists of Clearwater, LLC Foot & Ankle Surgery CurrentSince Jun 1, 2023 Accepting new patients
Timothy C. Runyon, DPM, PA Foot & Ankle Surgery CurrentSince Feb 1, 2025 Accepting new patients
Podiatry Company LLC CurrentSince Jan 23, 2021 Accepting new patients
Virginia Foot & Ankle Surgical Associates Foot & Ankle Surgery CurrentSince Sep 6, 2012 Accepting new patients
Podiatry Associates of Florida, Inc. Foot & Ankle Surgery CurrentSince Jun 1, 2023 Accepting new patients
Pedirite Medical FL LLC CurrentSince Feb 1, 2023 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.