Individual provider Active NPI

Bilal Khodr, M.D.

  • Pediatrics Physician
  • Gainesville, FL
National Provider Identifier
1881653723
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME72652 Issued in FL
Practice address
7046 SW Archer Rd
Gainesville, FL 32608-4723
Phone
(352) 733-1770
Fax
(352) 372-5164
NPI assigned
Mar 20, 2006
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0072652 FL
Pediatrics Physician 208000000X ME0072652 FL
Pediatrics Physician 208000000X ME72652 FL Primary

Addresses

Primary practice location

7046 SW Archer Rd
Gainesville, FL 32608-4723

Mailing address

PO Box 100296
Gainesville, FL 32610-0296
Phone (352) 627-9350

Other identifiers 2

IdentifierTypeStateIssuer
41469OtherBLUE CROSS BLUE SHIELD
271389600MedicaidFL

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
I20041130001138 FL Practitioner - Pediatric MedicinePractitioner - Internal Medicine 3072578152 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Practice addresses (Care Compare)

340 NW Commerce Dr
Lake City Medical Center
Lake City, FL 32055-4709
Phone (850) 719-9000

611 Zeagler Dr
Palatka, FL 32177-3810
Phone (800) 424-3672

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072652FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Pediatrics & Family Medicine of Buena Vista , LLC CurrentSince Nov 12, 2017 Accepting new patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Sep 1, 2015 Accepting new patients
Nahed S. Sobhy M.D. P.a. Current Accepting new patients
Mercy Medical Urgent Care Center CurrentSince Jun 11, 2014 Accepting new patients
Paragon Emergency Services LLC Pediatrics CurrentSince Aug 1, 2020 Accepting new patients
Lake Shore Hma Medical Group LLC Family Medicine Past Accepting new patients
Perry Emergency Physicians LLC PastSince Dec 7, 2004 Accepting new patients
Magnolia Pediatrics LLC Pediatrics Past Accepting new patients
Shands at Lake Shore Inc Past Accepting new patients
Premier Medical Clinic Past Accepting new patients
North Florida Emergency Physicians Past Accepting new patients
Live Oak Hma Medical Group, LLC Family Medicine Past Accepting new patients
DMH Emergency Physician Group, LLC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

7046 SW Archer Rd
Gainesville, FL 32608
Phone (352) 733-1770

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

2786 W US Highway 90
Ste 105
Lake City, FL 32055
Phone (386) 758-2944

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

368 NE Franklin St
Lake City, FL 32055
Phone (386) 292-8000

368 NE Franklin St
Fl 2
Lake City, FL 32055
Phone (386) 754-8000

755 SW State Road 47
Lake City, FL 32025
Phone (386) 754-8000

519 Buena Vista St
Lakeland, FL 33805
Phone (863) 337-4994

1100 11th St SW
Live Oak, FL 32064
Phone (386) 362-0800

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

611 Zeagler Dr
Palatka, FL 32177
Phone (386) 326-8070

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

922 E Call St
Starke, FL 32091
Phone (904) 368-2300

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: bkhodr15560@direct.shands.ufl.edu
  • FHIR API: https://api.platform.athenahealth.com/23008/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1881653723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100296",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100296",
            "telephone_number": "352-627-9350",
            "fax_number": "352-273-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7046 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084723",
            "telephone_number": "352-733-1770",
            "fax_number": "352-372-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODR",
        "first_name": "BILAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0072652",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0072652",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME72652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "41469",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271389600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.