Active NPI
Khaled Bittar, M.D.
- Pediatric Gastroenterology Physician
- Orlando, FL
National Provider Identifier
1659529394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- ME128281
- Practice address
- 60 W Gore St
Orlando, FL 32806-1141 - Phone
- (321) 841-3338
- Fax
- (321) 841-2170
- NPI assigned
- Sep 7, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME128281 | FL | |
| Pediatric Gastroenterology Physician | 2080P0206X | ME128281 | FL | Primary |
Addresses
Primary practice location
60 W Gore St
Orlando, FL 32806-1141
Mailing address
60 W Gore St
Orlando, FL 32806-1141
Phone (321) 841-3338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020505600 | Medicaid | FL |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 W Gore St
Orlando, FL 32806-1141
Phone (407) 423-1039
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME128281 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients |
Locations
2290 W Eau Gallie Blvd
Ste 205A
Melbourne, FL 32935
Phone (321) 255-2665
60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Interoperability endpoints
- kbittar25633@orlandohealth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1659529394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 W GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061141",
"telephone_number": "321-841-3338",
"fax_number": "321-841-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 W GORE ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061141",
"telephone_number": "321-841-3338",
"fax_number": "321-841-2170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITTAR",
"first_name": "KHALED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-07",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME128281",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "FL",
"license": "ME128281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020505600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.