Mir a Alikhan, MD
Individual provider Active NPI Internal Medicine Physician · Lake Worth, FL
NPI 1821054008 · NPPES record last updated Feb 22, 2008
Key facts
- NPI
- 1821054008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME0047934 (FL)
- Practice address
- 5055 S Congress Ave
Ste 303
Lake Worth, FL 33461-4722 - Phone
- (561) 968-1100
- Fax
- (561) 968-1106
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- PCC Medical Holdings LLC
Practice addresses (Care Compare)
1140 S Semoran Blvd E
PCC of Semoran
Orlando, FL 32807-1459
Phone (407) 384-9165
161 JFK Dr
Atlantis, FL 33462-1119
Phone (561) 968-8462
2911 N Military TRL D
PCC of West Palm
West Palm Beach, FL 33409-2922
Phone (561) 478-8825
5055 S Congress Ave
303 PCC of Lake Worth
Lake Worth, FL 33461-4722
Phone (561) 968-1100
Hospital & facility affiliations
- Good Samaritan Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050623000318 | FL | Practitioner - Internal Medicine | 7517902257 |
Reassigns benefits to 1 organization Practice locations: Lake Worth, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0047934 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Medical Holdings LLC | Internal Medicine | Current |
Accepting new patients |
| A Alikhan M.D. P.a. | Internal Medicine | Past | Accepting new patients |
Locations
5055 S Congress Ave
Ste 303
Lake Worth, FL 33461
Phone (561) 968-1100
5055 S Congress Ave
Lake Worth, FL 33461
1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165
2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825
Interoperability endpoints
- ahmed.alikhan.1@32578.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME0047934 | FL | Yes |
Addresses
Primary practice location
5055 S Congress Ave
Ste 303
Lake Worth, FL 33461-4722
Mailing address
5055 S Congress Ave
Ste 303
Lake Worth, FL 33461-4722
Phone (561) 968-1100
Other providers in Lake Worth, FL
- Alejandro Alfonso Duque
- Mileyvi Alfonso Lopez
- Arian Alfonso Ortega
- Lianny Alfonso
- Anithe Alfred
- All About Me Corp.
- All Care Family Health, LLC
- All Care Transport LLC
- All DME Products LLC
- All Worth Mental Health LLC
All providers in Lake Worth, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.