Individual provider Active NPI

Khalil Khan, D.O.

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1679626311
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS10066 Issued in FL
Practice address
1226 SW 3Rd Ave
Ft Lauderdale, FL 33315-1507
Phone
(954) 527-0222
Fax
(954) 763-3544
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OS10066 FL Primary

Addresses

Primary practice location

1226 SW 3Rd Ave
Ft Lauderdale, FL 33315-1507

Mailing address

11550 NW 20TH St
Plantation, FL 33323-2062
Phone (954) 474-9082

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000406 FL Practitioner - Internal Medicine 8628158755 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida, Inc Internal Medicine CurrentSince May 1, 2010 Accepting new patients
Inpatient Consultants of Florida Inc Internal Medicine CurrentSince May 1, 2010 Accepting new patients
Husman Khan MD PA Internal Medicine CurrentSince Oct 1, 2007 Accepting new patients

Locations

1226 SW 3rd Ave
Ft Lauderdale, FL 33315
Phone (954) 527-0222

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679626311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 NW 20TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232062",
            "telephone_number": "954-474-9082",
            "fax_number": "954-763-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 SW 3RD AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151507",
            "telephone_number": "954-527-0222",
            "fax_number": "954-763-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KHALIL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS10066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.