Individual provider Active NPI

Omar A Khashaba, M.D.

  • Hospitalist Physician
  • Rockledge, FL
National Provider Identifier
1942467576
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME112373 Issued in FL
Practice address
110 Longwood Ave
Rockledge, FL 32955-2828
Phone
(321) 636-2211
NPI assigned
May 21, 2008
Last updated
May 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
FY303TOtherFLMEDICARE PTAN
P02008560OtherFLRRMEDICARE PTAN
004665600MedicaidFL
FY303POtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120416000463 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 5294996492 Reassigns benefits to 11 organizations
I20171020002240 CA Practitioner - Internal Medicine 5294996492 Reassigns benefits to 2 organizations
I20231019003526 GA Practitioner - Internal Medicine 5294996492 Reassigns benefits to 1 organization

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
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

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

OrganizationSpecialtyStatusNew patients
Fountain Valley Group Services PC Hospitalist CurrentSince Sep 1, 2017 Accepting new patients
Health First Medical Group, LLC CurrentSince Apr 20, 2017 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Nov 17, 2017 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
KND Development 59 LLC Hospitalist Current Accepting new patients
Deerfield Beach Physician Services, LLC Internal Medicine CurrentSince Dec 27, 2022 Accepting new patients
KND Development 59 LLC Hospitalist CurrentSince Jun 1, 2021 Accepting new patients
Collins Physician Services, LLC Internal Medicine CurrentSince Jul 31, 2022 Accepting new patients
Rockledge Physician Services, LLC Hospitalist CurrentSince Jun 15, 2016 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Oct 21, 2024 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Health First Medical Group, LLC Internal Medicine CurrentSince Apr 20, 2017 Accepting new patients
Florida Hospital Healthcare Partners, Inc Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Nov 17, 2017 Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Jun 1, 2021 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Oct 14, 2017 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 PastSince Jan 26, 2020 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 23

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.