Individual provider Active NPI

Majid Rafik Khalaf, MD

  • Interventional Pain Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1841334174
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME87468 Issued in FL
Practice address
1936 32ND Ave
Vero Beach, FL 32960-2573
Phone
(772) 778-8882
Fax
(772) 778-8894
NPI assigned
Feb 19, 2007
Last updated
Apr 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X ME87468 FL Primary

Addresses

Primary practice location

1936 32ND Ave
Vero Beach, FL 32960-2573

Mailing address

1936 32ND Ave
Vero Beach, FL 32960-2573
Phone (772) 778-8882

Other identifiers 1

IdentifierTypeStateIssuer
U3904AOtherMEDICARE PTAN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000188 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 9739146705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1936 32ND Ave
Vero Beach, FL 32960-2573
Phone (772) 778-8882

1936 32ND Ave
Vero Beach, FL 32960-3149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Institute of Florida PA Interventional Pain Medicine CurrentSince Apr 1, 2005 Accepting new patients
Tampa Pain Relief Center, Inc. Past Accepting new patients

Locations

1317 W Indiantown Rd
Ste 100
Jupiter, FL 33458

1424 US Highway 1
Ste A
Sebastian, FL 32958
Phone (772) 581-8500

1936 32nd Ave
Vero Beach, FL 32960
Phone (772) 778-8882

3800 20th St
Vero Beach, FL 32960
Phone (772) 778-8882

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICECDD/Endpoint/ICECDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1841334174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 32ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602573",
            "telephone_number": "772-778-8882",
            "fax_number": "772-778-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 32ND AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602573",
            "telephone_number": "772-778-8882",
            "fax_number": "772-778-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALAF",
        "first_name": "MAJID",
        "middle_name": "RAFIK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME87468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "U3904A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.