Individual provider Active NPI

Khurram Moin, M.D.

  • Interventional Cardiology Physician
  • Kissimmee, FL
National Provider Identifier
1710980974
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME77258 Issued in FL
Practice address
311 W Oak St
Kissimmee, FL 34741-4421
Phone
(407) 933-1423
Fax
(407) 933-7901
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME77258 FL Primary
Cardiovascular Disease Physician 207RC0000X ME77258 FL

Addresses

Primary practice location

311 W Oak St
Kissimmee, FL 34741-4421

Mailing address

311 W Oak St
Kissimmee, FL 34741-4421
Phone (407) 933-1423

Other identifiers 2

IdentifierTypeStateIssuer
P00089841OtherFLRAILROAD MEDICARE
81272OtherFLBCBS OF FLORIDA

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
I20031208000894 FL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4587560917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Clinic of Sunil M. Kakkar, M.D, P.aGroup PAC ID 1951371038, 8 clinicians

Practice addresses (Care Compare)

311 W Oak St
Kissimmee, FL 34741-4421
Phone (407) 933-1423

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • HCA Florida Poinciana Hospital Hospital, Kissimmee, FL, CCN 100320

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
81.21
Improvement activities
40
Cost
72.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 1, 2019 Accepting new patients
Central Florida Cardiology Interpretations LLC CurrentSince Sep 3, 2004 Accepting new patients
Cardiac Clinic of Sunil M. Kakkar, M.D, P.a Cardiovascular Disease CurrentSince Jul 1, 2007 Accepting new patients
Delta Memorial Hospital Past Accepting new patients
Delta Memorial Hospital Past Accepting new patients

Locations

510 Cypress Pkwy
Kissimmee, FL 34759

311 W Oak St
Kissimmee, FL 34741
Phone (407) 933-1423

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1012 Cypress Pkwy
Poinciana, FL 34759
Phone (470) 933-1423

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8

Organizations & group practices 6

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 4

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1710980974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414421",
            "telephone_number": "407-933-1423",
            "fax_number": "407-933-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414421",
            "telephone_number": "407-933-1423",
            "fax_number": "407-933-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOIN",
        "first_name": "KHURRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME77258",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME77258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00089841",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "81272",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.