NPIMap

Individual provider Active NPI

Raihaan R Khattak, M.D.

  • Infectious Disease Physician
  • Kissimmee, FL
National Provider Identifier
1881058451
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME138276 Issued in FL
Practice address
1182 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone
(352) 390-0528
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 71371 WI
Hospitalist Physician 208M00000X 71371 WI
Infectious Disease Physician 207RI0200X ME138276 FL Primary

Addresses

Primary practice location

1182 Cypress Glen Cir
Kissimmee, FL 34741-7560

Mailing address

3471 Dovetail Ave
Kissimmee, FL 34741-2938
Phone (352) 390-0528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190206000918 FL Practitioner - Internal MedicinePractitioner - Family Practice 6103164793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osceola Infectious Disease Consultancy Services PLLCGroup PAC ID 6305207077, 2 clinicians

Practice addresses (Care Compare)

1182 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 350-5917

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110
  • Ucf Lake Nona Hospital Hospital, Orlando, FL, CCN 100350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71371WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Infectious Disease Consultancy Services PL Internal Medicine CurrentSince May 28, 2023 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Osceola Infectious Disease Consultancy Services, PLLC Infectious Disease CurrentSince Jun 29, 2023 Accepting new patients

Locations

1182 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 350-5917

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rkhattak211098@orlandohealth.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1881058451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 DOVETAIL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412938",
            "telephone_number": "352-390-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 CYPRESS GLEN CIR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417560",
            "telephone_number": "352-390-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATTAK",
        "first_name": "RAIHAAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "71371",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "71371",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME138276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.