Wajid A Khuddus

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME93049 Issued in FL

Practice address

1137 NW 155TH Dr
Newberry, FL 32669-3907

Phone

(352) 359-4267

Fax

(352) 329-4228

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Plaza Healthcare and Rehabilitation Center LLC

  dba The Plaza Health and Rehab Center

  • Skilled Nursing Facility
  • Gainesville, FL
  • NPI 1538925714

  Contracted Managing Employee

  CMS ownership

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.

• Geriatrics Associates of Gainesville Inc

  • Internal Medicine Physician
  • Newberry, FL
  • NPI 1245541135
  Medicare reassignment NPD Authorized official
• North Florida Immediate Care Center

  dba Immediate Care Center - Springhill

  • Internal Medicine Physician
  • Gainesville, FL
  • NPI 1558345207
  NPD (past)
• Ocala Health Primary Care LLC

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1720398456
  NPD (past)
• Personal Rehab Inc

  • Physical Medicine & Rehabilitation Physician
  • Lake Placid, FL
  • NPI 1033173265
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1689695371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 NW 155TH DR",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693907",
            "telephone_number": "352-359-4267",
            "fax_number": "352-329-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 NW 155TH DR",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693907",
            "telephone_number": "352-359-4267",
            "fax_number": "352-329-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUDDUS",
        "first_name": "WAJID",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME93049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57029",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278009700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya L Jones, APRN
• Jonesville Dentistry, PLLC (Radiant Dentistry)
• Kalaisenthil Kalaimani
• Catherine Olivia Keene, PHARMD
• Richard M Kelowitz, D.D.S.
• Olivia Spillane Kidd, OTR/L
• Hyeong Dong Kim
• Kinetix Physical Therapy
• Jennifer Renee King, LCSW
• Thomas Matthew Kipp, L.M.T.

• Internal Medicine Physician in Newberry, FL
• Providers in Newberry, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.