Individual provider Active NPI

Ziad Khatib, MD

  • Pediatric Hematology & Oncology Physician
  • Miami, FL
National Provider Identifier
1902915820
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
ME0055110 Issued in FL
Practice address
3100 SW 62ND Ave
NE Wing, Suite 121
Miami, FL 33155
Phone
(305) 662-8360
Fax
(305) 666-6387
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X ME0055110 FL Primary

Addresses

Primary practice location

3100 SW 62ND Ave
NE Wing, Suite 121
Miami, FL 33155

Mailing address

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 661-1515

Other practice location 1

9980 Central Park Blvd N Ste 104
Boca Raton, FL 33428-1703
Phone (561) 558-1212

Other identifiers 1

IdentifierTypeStateIssuer
3730760-00MedicaidFL

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
I20150408002498 FL Practitioner - Pediatric Medicine 4587566609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidz Medical Services IncGroup PAC ID 3678536240, 24 clinicians

Practice addresses (Care Compare)

3100 SW 62ND Ave
Miami, FL 33155-3009
Phone (305) 662-8360

975 Baptist Way
Homestead, FL 33033-7600
Phone 3056611515243

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055110FLMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Medical Services, Inc CurrentSince Aug 31, 2014 Accepting new patients
Kidz Medical Services, Inc Pediatric Hematology-Oncology CurrentSince Aug 31, 2014 Accepting new patients
Miami Pediatric Hematology Oncology Associates Pediatric Hematology-Oncology PastSince Oct 1, 1998 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 318
Boca Raton, FL 33428
Phone (561) 451-0500

9980 Central Park Blvd N
Ste 104
Boca Raton, FL 33428
Phone (561) 487-0550

5955 Ponce de Leon Blvd
Coral Gables, FL 33146
Phone (305) 662-8668

975 Baptist Way
Ste 203
Homestead, FL 33033
Phone (305) 242-8200

3100 SW 62nd Ave
Ste 121
Miami, FL 33155
Phone (305) 662-8360

Interoperability endpoints

  • Direct secure messaging: ziad.khatib.1@27004.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1902915820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 PONCE DE LEON BLVD",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "305-661-1515",
            "fax_number": "305-662-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "NE WING, SUITE 121",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33155",
            "telephone_number": "305-662-8360",
            "fax_number": "305-666-6387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9980 Central Park Blvd N Ste 104",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334281703",
            "country_code": "US",
            "telephone_number": "561-558-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "ZIAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "FL",
            "license": "ME0055110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730760-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.