Active NPI
Saqib B Khan, M.D.
- Pain Medicine (Anesthesiology) Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- ME0070224
- Practice address
- 541 S Florida Ave
Lakeland, FL 33801-5228 - Phone
- (863) 682-7246
- Fax
- (863) 683-7256
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME0070224 | FL | Primary |
Addresses
Primary practice location
541 S Florida Ave
Lakeland, FL 33801-5228
Mailing address
PO Box 100910
Atlanta, GA 30384-4548
Phone (863) 682-7246
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
541 S Florida Ave
Lakeland, FL 33801-5228
Phone (863) 682-7246
Hospital & facility affiliations
- Lakeland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0070224 | FL | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland FL Endoscopy ASC LLC | Current | Accepting new patients | |
| Pain Medicine Inc | Current | Accepting new patients | |
| Healthcare Center of Tampa | Past | Accepting new patients |
Locations
202 Parkview Pl
Lakeland, FL 33805
Phone (863) 682-6686
541 S Florida Ave
Lakeland, FL 33801
Phone (863) 682-7246
702 N Alexander St
Plant City, FL 33563
Phone (813) 722-8746
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Pain Medicine Physician
- Lakeland, FL
- NPI 1376706283
-
- Ambulatory Surgical Clinic/Center
- Lakeland, FL
- NPI 1649244567
-
- Pain Clinic/Center
- Lakeland, FL
- NPI 1235117649
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakeland, FL
- NPI 1144228446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1790745875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100910",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303844548",
"telephone_number": "863-682-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338015228",
"telephone_number": "863-682-7246",
"fax_number": "863-683-7256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SAQIB",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME0070224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.