Active NPI
Khalid B Mohammed, DO
- Interventional Cardiology Physician
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- OS20816
- Practice address
- 13127 Vail Ridge Dr
Riverview, FL 33579-7196 - Phone
- (813) 661-6199
- NPI assigned
- Jun 27, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 5101023548 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | OS20816 | FL | |
| Interventional Cardiology Physician | 207RI0011X | OS20816 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 5101023548 | MI |
Addresses
Primary practice location
13127 Vail Ridge Dr
Riverview, FL 33579-7196
Mailing address
13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199
Other practice location 1
1425 Malabar Rd NE Ste 503
Palm Bay, FL 32907-2506
Phone (321) 434-8531
Other practice location 2
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000
Other practice location 3
33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000
Other practice location 4
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 295-5000
Other practice location 5
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-4486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XB407 | Other | FL | HFMG |
| 122618500 | Medicaid | FL |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8121
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (800) 432-2301
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
Hospital & facility affiliations
- Adventhealth Tampa
- Adventhealth Riverview
- St Josephs Hospital
- HCA Florida Brandon Hospital
- HCA Florida South Shore Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS20816 | FL | MD | Cardiovascular Disease Physician |
| 5101023548 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Cardiovascular Associates Inc | Cardiovascular Disease | Current | Accepting new patients |
| West Florida Cardiovascular Co-Management Associates, LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
1159 Nikki View Dr
Brandon, FL 33511
Phone (813) 661-6199
425 S Kings Ave
Brandon, FL 33511
Phone (813) 661-6199
13127 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 661-6199
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- kmohammed779545@direct.hfhs.org
- kmohammed118451@mymichiganhealth.midirect.net
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.
-
- Cardiovascular Disease Physician
- Brandon, FL
- NPI 1912175290
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1245776004
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Riverview
- General Acute Care Hospital
- Riverview, FL
- NPI 1699345314
-
dba HCA Florida Brandon Hospital
- General Acute Care Hospital
- Brandon, FL
- NPI 1669427258
-
dba St. Joseph's Women's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
dba HCA Florida South Shore Hospital
- General Acute Care Hospital
- Sun City Center, FL
- NPI 1164476867
-
dba AdventHealth Tampa
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
-
dba AdventHealth Tampa Outreach Laboratory
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1134766694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1740701093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13127 VAIL RIDGE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797196",
"telephone_number": "813-661-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13127 VAIL RIDGE DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335797196",
"telephone_number": "813-661-6199"
}
],
"practiceLocations": [
{
"address_1": "1425 Malabar Rd NE Ste 503",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329072506",
"country_code": "US",
"telephone_number": "321-434-8531",
"fax_number": "321-434-8533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11800 E 12 Mile Rd",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480933472",
"country_code": "US",
"telephone_number": "586-573-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "33155 Annapolis St",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "MI",
"postal_code": "481842405",
"country_code": "US",
"telephone_number": "734-467-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-295-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6245 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481354001",
"country_code": "US",
"telephone_number": "734-458-4486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAMMED",
"first_name": "KHALID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "5101023548",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "OS20816",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "OS20816",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101023548",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFMG",
"identifier": "XB407",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122618500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.