Individual provider Active NPI

Khaled Mohammed Al-Farawi, MD

  • Pediatrics Physician
  • Panama City, FL
National Provider Identifier
1669887139
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME131759 Issued in FL
Practice address
528 W Baldwin Rd
Panama City, FL 32405-3313
Phone
(850) 522-1522
Fax
(850) 522-5925
NPI assigned
Jun 24, 2014
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X U5058 TX
Pediatrics Physician 208000000X ME131759 FL Primary

Addresses

Primary practice location

528 W Baldwin Rd
Panama City, FL 32405-3313

Mailing address

PO Box 15775
Panama City, FL 32406-5775
Phone (304) 521-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180313000547 FL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2567681430 Reassigns benefits to 3 organizations
I20240304000608 TX Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 2567681430 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U5058TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
The Pathology Group of Northwest Florida PLLC Current Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Jan 22, 2024 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Jul 1, 2021 Accepting new patients
Holmes County Hospital Corp CurrentSince Jan 1, 2021 Accepting new patients
Precious Pearls Pediatrics LLC Pediatrics CurrentSince May 26, 2026 Accepting new patients
Clear Lake Pediatric Clinic, P.a. Pediatrics CurrentSince Apr 29, 2024 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Jul 1, 2021 Accepting new patients
Vivid Pathology PA Current Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Holmes County Hospital Corp CurrentSince Jan 1, 2021 Accepting new patients
Chca Clear Lake LP Past Accepting new patients
Centre for Integrative and Holistic Medicine PastSince Feb 4, 2024 Accepting new patients

Locations

101 E Wisconsin Ave
Bonifay, FL 32425
Phone (850) 547-2209

2600 Hospital Dr
Bonifay, FL 32425
Phone (850) 416-6484

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

11455 Fallbrook Dr
Ste 202
Houston, TX 77065
Phone (281) 890-7475

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

16 Professional Park Dr
Webster, TX 77598
Phone (281) 332-3503

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: khaled.al-farawi.1@14612.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1669887139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15775",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324065775",
            "telephone_number": "304-521-5337",
            "fax_number": "850-248-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W BALDWIN RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053313",
            "telephone_number": "850-522-1522",
            "fax_number": "850-522-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-FARAWI",
        "first_name": "KHALED",
        "middle_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U5058",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME131759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.