NPIMap

Individual provider Active NPI

Lisa A Allen-Khalil, M.D.

  • Internal Medicine Physician
  • Brooksville, FL
National Provider Identifier
1669439741
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0067859 Issued in FL
Practice address
11373 Cortez Blvd Ste 102
Brooksville, FL 34613-5414
Phone
(352) 592-5000
Fax
(352) 592-5001
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0067859 FL Primary

Addresses

Primary practice location

11373 Cortez Blvd Ste 102
Brooksville, FL 34613-5414

Mailing address

11373 Cortez Blvd Ste 102
Brooksville, FL 34613-5411
Phone (352) 592-5000

Other identifiers 1

IdentifierTypeStateIssuer
257146300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000105 FL Practitioner - Internal Medicine 1052447885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11373 Cortez Blvd
Suite 102
Brooksville, FL 34613-5411
Phone (352) 592-5000

Hospital & facility affiliations

  • Pinnacle Home Care of Spring Hill Inc Home health agency, Spring Hill, FL, CCN 108068
  • Aveanna Home Health Home health agency, Brooksville, FL, CCN 109673
  • Concierge Home Care Home health agency, Spring Hill, FL, CCN 108223
  • HCA Florida Healthcare at Home Home health agency, The Villages, FL, CCN 109581
  • Visiting Nurse Association of Florida Inc Home health agency, Weeki Wachee, FL, CCN 107609
  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0067859FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Lisa Allen-Khalil MD PA Internal Medicine CurrentSince Jan 14, 2010 Accepting new patients

Locations

14540 Cortez Blvd
Ste 100
Brooksville, FL 34613
Phone (352) 592-5000

11373 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 592-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADD/Endpoint/JBFADD
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: lallenkhalil295833@direct.tgh.org

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.

Hospital & facility affiliations 8

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1669439741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 102",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135411",
            "telephone_number": "352-592-5000",
            "fax_number": "352-592-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 102",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135414",
            "telephone_number": "352-592-5000",
            "fax_number": "352-592-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN-KHALIL",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0067859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257146300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.