Individual provider Active NPI

Usama M. Khater, MD, MASTER'S DEGREE

  • Urology Physician
  • Miami, FL
National Provider Identifier
1861740185
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME104960 Issued in FL
Practice address
1150 NW 14TH St
Miami, FL 33136-2137
Phone
(305) 243-6090
NPI assigned
Aug 16, 2012
Last updated
Nov 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME104960 FL Primary
General Practice Physician 208D00000X ME 104960 FL

Addresses

Primary practice location

1150 NW 14TH St
Miami, FL 33136-2137

Mailing address

1150 NW 14TH St
Miami, FL 33136-2137
Phone (305) 243-6090

Other practice location 1

99 NW 183rd St
Suite # 133
Miami, FL 33169-4502
Phone (305) 651-9979

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
I20130523000072 FL Practitioner - UrologyPractitioner - General PracticePractitioner - Pediatric Medicine 7416102991 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 104960FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Medical Care Inc CurrentSince Aug 26, 2012 Accepting new patients
University of Miami Current Accepting new patients
MD Now Medical Centers Inc General Practice CurrentSince Sep 18, 2017 Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
MD Now Medical Centers Inc General Practice CurrentSince Sep 18, 2017 Accepting new patients

Locations

601 Linton Blvd
Delray Beach, FL 33444
Phone (561) 276-2270

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1150 NW 14th St
Miami, FL 33136
Phone (305) 243-6165

1150 NW 14th St
Ste 309
Miami, FL 33136
Phone (305) 243-4562

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

99 NW 183rd St
Ste 133
Miami Gardens, FL 33169
Phone (305) 651-0356

12555 Biscayne Blvd
North Miami, FL 33181
Phone (305) 379-4442

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1861740185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "305-243-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331362137",
            "telephone_number": "305-243-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 NW 183rd St",
            "address_2": "Suite # 133",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331694502",
            "country_code": "US",
            "telephone_number": "305-651-9979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATER",
        "first_name": "USAMA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD, MASTER'S DEGREE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME104960",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME 104960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.