Active NPI
Yusra Medical Associates P.a.
- Hospitalist Physician
- Celebration, FL
National Provider Identifier
1891033874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME76641
- Legal business name
- YUSRA MEDICAL ASSOCIATES P.A.
- Practice address
- 400 Celebration PL
Celebration, FL 34747-4970 - Phone
- (386) 676-0255
- Fax
- (386) 676-2555
- NPI assigned
- Jan 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammad A Khan, M.D.
- Title
- Owner
- Phone
- (386) 676-0255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | ME76641 | FL | Primary |
Addresses
Primary practice location
400 Celebration PL
Celebration, FL 34747-4970
Mailing address
PO Box 731415
Ormond Beach, FL 32173-1415
Phone (386) 676-0255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/DGEDAD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kissimmee, FL
- NPI 1265478226
-
- General Practice Physician
- Orlando, FL
- NPI 1942262860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362528000000",
"number": "1891033874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 731415",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321731415",
"telephone_number": "386-676-0255",
"fax_number": "386-676-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CELEBRATION PL",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474970",
"telephone_number": "386-676-0255",
"fax_number": "386-676-2555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUSRA MEDICAL ASSOCIATES P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-25",
"last_updated": "2013-03-06",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MOHAMMAD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-676-0255",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "FL",
"license": "ME76641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Celebration, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.