Individual provider Active NPI

Khaled Omar Shebani, MD

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1710948971
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
87219-20 Issued in WI
Practice address
1500 SE Magnolia Ext
Suite 201
Ocala, FL 34471-4463
Phone
(352) 620-2711
Fax
(352) 620-2712
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME95263 FL
General Practice Physician 208D00000X 87219-20 WI Primary
Specialist 174400000X ME95263 FL

Addresses

Primary practice location

1500 SE Magnolia Ext
Suite 201
Ocala, FL 34471-4463

Mailing address

1500 SE Magnolia Ext Ste 201
Ocala, FL 34471-4461
Phone (352) 620-2711

Other identifiers 1

IdentifierTypeStateIssuer
ME95263OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI2 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
I20260604002988 NY Practitioner - General Surgery 7810923497 Reassigns benefits to 1 organization
I20260604003707 WI Practitioner - General PracticePractitioner - General Surgery 7810923497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

National Provider Directory

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

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1710948971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SE MAGNOLIA EXT STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714461",
            "telephone_number": "352-620-2711",
            "fax_number": "352-620-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SE MAGNOLIA EXT",
            "address_2": "SUITE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714463",
            "telephone_number": "352-620-2711",
            "fax_number": "352-620-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEBANI",
        "first_name": "KHALED",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME95263",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "87219-20",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME95263",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME95263",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.