Active NPI
Omar A Khashaba, M.D.
- Hospitalist Physician
- Rockledge, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- ME112373
- Practice address
- 110 Longwood Ave
Rockledge, FL 32955-2828 - Phone
- (321) 636-2211
- NPI assigned
- May 21, 2008
- Last updated
- May 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME112373 | FL | |
| Internal Medicine Physician | 207R00000X | 97357 | GA | |
| Hospitalist Physician | 208M00000X | ME112373 | FL | Primary |
Addresses
Primary practice location
110 Longwood Ave
Rockledge, FL 32955-2828
Mailing address
110 Longwood Ave
Rockledge, FL 32955-2828
Phone (321) 636-2211
Other practice location 1
5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FY303T | Other | FL | MEDICARE PTAN |
| P02008560 | Other | FL | RRMEDICARE PTAN |
| 004665600 | Medicaid | FL | |
| FY303P | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountain Valley Group Services PC | Hospitalist | Current | Accepting new patients |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Internal Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Hospitalist | Current | Accepting new patients |
| Deerfield Beach Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Hospitalist | Current | Accepting new patients |
| Collins Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Rockledge Physician Services, LLC | Hospitalist | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of FL, LLC | Hospitalist | Current | Accepting new patients |
| Sound Physicians of Florida IV, LLC | Internal Medicine | Current | Accepting new patients |
| Health First Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Rural Physicians Group-Pannu PLLC | Internal Medicine | Current | Accepting new patients |
| KND Development 59, LLC | Hospitalist | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Fountain Valley Group Services PC | Past | Accepting new patients | |
| Meriwether Healthcare, L.L.C. | Past | Accepting new patients | |
| Rural Physicians Group-Pannu PLLC | Internal Medicine | Past | Accepting new patients |
| Floridian Emergency Specialists, LLC | Past | Accepting new patients |
Locations (25 of 30)
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
701 W Cocoa Beach Cswy
Cocoa Beach, FL 32931
Phone (321) 799-7111
301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600
765 W Nasa Blvd
Melbourne, FL 32901
Phone (321) 409-4042
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
1425 Malabar Rd NE
Palm Bay, FL 32907
Phone (321) 434-8000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000
1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969
110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799
3030 6th St S
St Petersburg, FL 33705
Phone (727) 894-8719
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
3100 E Fletcher Ave
#C
Tampa, FL 33613
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- okhashaba71726@epicdirect.hf.org
Organizations & group practices 23
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Internal Medicine
-
- Hospitalist Physician
- Greenwood Village, CO
- NPI 1891236584
GA, Internal Medicine
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
-
- Hospitalist Physician
- Miami Beach, FL
- NPI 1457839524
Internal Medicine
-
- Internal Medicine Physician
- Tallahassee, FL
- NPI 1366100364
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Internal Medicine
-
- Hospitalist Physician
- St Petersburg, FL
- NPI 1245569870
-
- Hospitalist Physician
- Rockledge, FL
- NPI 1538523295
-
- Internal Medicine Physician
- Palm Coast, FL
- NPI 1740633635
-
- Hospitalist Physician
- Indio, CA
- NPI 1013310309
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
-
dba Warm Springs Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Warm Springs, GA
- NPI 1447583893
Nursing home
-
dba Warm Springs Medical Center
- Critical Access Hospital
- Warm Springs, GA
- NPI 1972731800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1942467576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LONGWOOD AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552828",
"telephone_number": "321-636-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LONGWOOD AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552828",
"telephone_number": "321-636-2211"
}
],
"practiceLocations": [
{
"address_1": "5995 Spring St",
"address_purpose": "LOCATION",
"city": "Warm Springs",
"state": "GA",
"postal_code": "318302149",
"country_code": "US",
"telephone_number": "706-655-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHASHABA",
"first_name": "OMAR",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME112373",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "97357",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME112373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "FY303T",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMEDICARE PTAN",
"identifier": "P02008560",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004665600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "FY303P",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.