Active NPI
Aziz A Alkhafaji, MD
- Surgery Physician
- New Port Richey, FL
National Provider Identifier
1922074830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0050610
- Practice address
- 5411 Grand Blvd
Suite 109
New Port Richey, FL 34652-4010 - Phone
- (727) 342-3445
- Fax
- (727) 841-9141
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME0050610 | FL | |
| Surgery Physician | 208600000X | ME0050610 | FL | Primary |
Addresses
Primary practice location
5411 Grand Blvd
Suite 109
New Port Richey, FL 34652-4010
Mailing address
14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609-8102
Phone (352) 799-0046
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006611900 | Medicaid | FL | |
| 04335 | Other | FL | BCBS |
| 046448100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0050610 | FL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Healthcare LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Spring Hill, FL
- NPI 1912949561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1922074830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14690 SPRING HILL DR",
"address_2": "STE 101",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346098102",
"telephone_number": "352-799-0046",
"fax_number": "352-799-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 GRAND BLVD",
"address_2": "SUITE 109",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346524010",
"telephone_number": "727-342-3445",
"fax_number": "727-841-9141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKHAFAJI",
"first_name": "AZIZ",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME0050610",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0050610",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006611900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "04335",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046448100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.