Hassan Ayaz Bokhari, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

D0072179 Issued in MD

Practice address

716 Seminole Blvd
Largo, FL 33770-6383

Phone

(727) 238-3241

NPI assigned

Jun 20, 2008

Last updated

Jun 13, 2024By 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 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC, FL, MD, GA, LA, CA, MI7 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 7

Specialty

Psychiatry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

University of Maryland Community Medical Group IncGroup PAC ID 3678472214, 446 clinicians

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Bokhari Medical Consortium IncGroup PAC ID 1254701063, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
• HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
• University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: bokharimedicalconsortium.hassanbokhari@157457.advancedmd-direct.com
• Direct secure messaging: hbokhari1097619@direct.umm.edu

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.

• Bokhari Medical Consortium Inc

  • Adult Mental Health Clinic/Center
  • Largo, FL
  • NPI 1982314241
  Medicare reassignment Care Compare group NPD Authorized official
• Indian River Health Services Inc

  dba Behavioral Health Center

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  Medicare reassignment Care Compare group NPD
• University of Maryland Community Medical Group, Inc.

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1477530624
  Medicare reassignment Care Compare group NPD
• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group NPD
• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  Medicare reassignment NPD
• Elite Psychiatric Consulting Services, LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1902171481
  Medicare reassignment NPD
• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Medicare reassignment NPD
• Sma Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daytona Beach, FL
  • NPI 1356329163
  Medicare reassignment NPD
• U Thrive Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Port Richey, FL
  • NPI 1083303127

  MI

  Medicare reassignment NPD
• Asana Integrated Medical Group PC

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1396783379

  FL

  Medicare reassignment NPD
• Axis Healthcare Group

  dba CareMind Health

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1326295098

  DC

  Medicare reassignment NPD
• Lifesource of North Carolina

  dba LifeSource of Georgia

  • General Practice Physician
  • Rome, GA
  • NPI 1962940817

  Psychiatry

  Medicare reassignment NPD

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

• HCA Health Services of Florida, Inc.

  dba HCA Florida Oak Hill Hospital

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1013961838
  Care Compare affiliation
• Chester River Hospital Center

  dba University of Maryland Shore Medical Center at Chestertown

  • General Acute Care Hospital
  • Chestertown, MD
  • NPI 1679536809
  Care Compare affiliation
• Shore Health System, Inc

  dba UM Shore Medical Center at Dorchester

  • General Acute Care Hospital
  • Cambridge, MD
  • NPI 1194784751
  Care Compare affiliation
• Shore Health System, Inc

  • Clinical Medical Laboratory
  • Easton, MD
  • NPI 1477513273

  Hospital

  Care Compare affiliation
• Shore Health System, Inc

  dba UM Shore Medical Center at Easton

  • General Acute Care Hospital
  • Easton, MD
  • NPI 1669431219
  Care Compare affiliation

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1811158082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337706383",
            "telephone_number": "727-238-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337706383",
            "telephone_number": "727-238-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Northrop Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325708701",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 Redmond Cir NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301651307",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4918 N Habana Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336146815",
            "country_code": "US",
            "telephone_number": "813-870-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 S Clearview Pkwy Bldg A",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "LA",
            "postal_code": "701211011",
            "country_code": "US",
            "telephone_number": "504-842-4025",
            "fax_number": "504-842-7756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2655 Northwinds Pkwy",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092280",
            "country_code": "US",
            "telephone_number": "877-732-7089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 East Cumberland ave 901 T2",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336026383",
            "country_code": "US",
            "telephone_number": "347-331-7748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 Seminole Blvd",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337706383",
            "country_code": "US",
            "telephone_number": "727-238-3241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 W Dr Mlk Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076383",
            "country_code": "US",
            "telephone_number": "866-762-1743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1209 East Cumberland ave 901 T2",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336026383",
            "country_code": "US",
            "telephone_number": "347-331-7748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 E Carroll St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218015422",
            "country_code": "US",
            "telephone_number": "202-360-4787",
            "fax_number": "202-360-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOKHARI",
        "first_name": "HASSAN",
        "middle_name": "AYAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME118020",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "82841",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "320637",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C168659",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0072179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067035900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015036600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy M Boccabella, L.M.H.C.
• Shirley Bogans
• Ryan Boice, PTA
• Bokhari Medical Consortium Inc
• Bokhari Medical Consortium Inc
• Cornelia Bolgehn, ARNP
• Nick Angelo Bologno, LMT
• Gloria J Bone, PT
• Amy Elizabeth Bonham
• Christopher James Bonham, D.M.D.

• Child & Adolescent Psychiatry Physician in Largo, FL
• Providers in Largo, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.