Khairul Shaheed Alam, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME121466 Issued in FL

Practice address

1870 N Lawnwood Cir
Suite a
Fort Pierce, FL 34950-4828

Phone

(772) 461-0820

Fax

(772) 461-0823

NPI assigned

Mar 9, 2006

Last updated

Jan 27, 2022By the provider in NPPES

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

Electronic endpoints 1

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

Specialty

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Florida Behavioral Health Network, LLCGroup PAC ID 7810160249, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: khairul.alam@hca4.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Florida Behavioral Health Network, LLC

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1538462130
  Medicare reassignment Care Compare group NPD
• Jefferson Regional Medical Center

  dba Jefferson Hospital Counseling Services

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1891763249
  NPD (past)
• JRMC Specialty Group Practice

  • Internal Medicine Physician
  • Jefferson Hills, PA
  • NPI 1164443842
  NPD (past)
• Wpic Physician Practice Corp Inc

  • Neurology Physician
  • Pittsburgh, PA
  • NPI 1356319313
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawnwood Medical Center Inc

  dba HCA Florida Lawnwood Hospital

  • General Acute Care Hospital
  • Fort Pierce, FL
  • NPI 1568409647
  Care Compare affiliation

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1801864434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 N LAWNWOOD CIR",
            "address_2": "SUITE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504828",
            "telephone_number": "772-461-0820",
            "fax_number": "772-461-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 N LAWNWOOD CIR",
            "address_2": "SUITE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504828",
            "telephone_number": "772-461-0820",
            "fax_number": "772-461-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "KHAIRUL",
        "middle_name": "SHAHEED",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME121466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KHAIRUL.ALAM@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1870 N Lawnwood Cir",
            "address_2": "SUITE A",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349504828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Raheel Ahmed, MD
• Robert Airapetov, DO
• Ajay K Goyal MD PA (Diagnostic Radiology Center of the Treasure Coast)
• Suhad Al Omaishi, MD
• Hayat Alabdulla Richard, APRN
• Martha Alamo
• Alan Dautch, PA
• Michael B Albert, M.D.
• Opal R Albury
• Peter Roque Aldana, MD

• Psychiatry Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.

Verify at the official NPI Registry.