Yasir Y Khan, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

ME169980 Issued in FL

Practice address

1030 Commerce Creek Blvd
Cape Coral, FL 33909-6529

Phone

(239) 997-3081

Fax

(844) 862-7077

NPI assigned

Jun 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 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 2

Specialty

Medical OncologyAlso: Hematology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Cancer Specialists and Research Institute, LLCGroup PAC ID 2567356058, 464 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: yasir.khan.p1@direct.cchn.nextgenshare.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.

• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Cape Coral, FL
  • NPI 1760590962

  Hematology

  Medicare reassignment Care Compare group NPD
• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Bridgeton, NJ
  • NPI 1700816816

  Internal Medicine

  Medicare reassignment NPD
• Shore Memorial Hospital

  dba SMH Professional Services

  • Hematology & Oncology Physician
  • Somers Point, NJ
  • NPI 1689795338
  Medicare reassignment NPD
• Community Health Care, Inc.

  dba CompleteCare Health Network

  • Federally Qualified Health Center (FQHC)
  • Williamstown, NJ
  • NPI 1194568303
  NPD
• Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Bradenton, FL
  • NPI 1508973231

  Hematology

  NPD (past)

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

• Lee Health System Inc

  dba Gulf Coast Medical Center

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1366281750
  Care Compare affiliation
• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1861843138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200",
            "fax_number": "215-481-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COMMERCE CREEK BLVD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096529",
            "telephone_number": "239-997-3081",
            "fax_number": "844-862-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Cape Coral Pkwy W Ste 10",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339146985",
            "country_code": "US",
            "telephone_number": "239-541-4633",
            "fax_number": "866-504-2990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8440 Murano Del Lago Dr",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "341358615",
            "country_code": "US",
            "telephone_number": "239-221-5402",
            "fax_number": "833-378-0265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8260 Gladiolus Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084156",
            "country_code": "US",
            "telephone_number": "239-437-5755",
            "fax_number": "239-437-5776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013720",
            "country_code": "US",
            "telephone_number": "215-481-2222",
            "fax_number": "215-481-4361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8981 Colonial Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339057816",
            "country_code": "US",
            "telephone_number": "239-938-0800",
            "fax_number": "866-420-0122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "YASIR",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD467952",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME169980",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME169980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123521700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth W. Backstrand & Associates, MD,PA
• Alisha L Kennison, COTA/L
• Kerollos Kerollos
• Nicholas Francis Kerr, PHARMD
• Asif Khan, DC
• Arseni Khorochkov, M.D.
• Anne F Kiefer, PHD
• Elizabeth Eileen Kieffer, ARNP
• Johanna Kiefner, LCSW, MDIV
• Elina Kilevskaya, PHARMD

• Medical Oncology Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Medical Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.