Individual provider Active NPI

Khaldia Taufiq Khaled

  • Interventional Cardiology Physician
  • Riverview, FL
National Provider Identifier
1952796302
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME173439 Issued in FL
Practice address
13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone
(813) 661-6199
Fax
(813) 661-6334
NPI assigned
Apr 2, 2015
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 308164 LA
Internal Medicine Physician 207R00000X ME173439 FL
Cardiovascular Disease Physician 207RC0000X 308164 LA
Cardiovascular Disease Physician 207RC0000X ME173439 FL
Interventional Cardiology Physician 207RI0011X 308164 LA
Interventional Cardiology Physician 207RI0011X ME173439 FL Primary

Addresses

Primary practice location

13127 Vail Ridge Dr
Riverview, FL 33579-7196

Mailing address

13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199

Other practice location 1

3200 Quail Springs Pkwy Ste 200
Oklahoma City, OK 73134-2699
Phone (405) 369-8355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, OK, FL3 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
I20220808002670 LA Practitioner - Cardiovascular Disease (Cardiology) 7012223308 Reassigns benefits to 1 organization
I20240206001786 OK Practitioner - Internal Medicine 7012223308 Reassigns benefits to 2 organizations
I20250626000044 FL Practitioner - Interventional Cardiology 7012223308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Louisiana State University School of Medicine in Shreveport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Cardiovascular Associates IncGroup PAC ID 5092874909, 17 clinicians

Practice addresses (Care Compare)

13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME173439FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jul 14, 2022 Accepting new patients
Advanced Cardiovascular Solutions, LLC CurrentSince Mar 5, 2024 Accepting new patients
Cardiovascular Health Clinic PLLC Cardiovascular Disease CurrentSince Dec 25, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 14, 2022 Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 5, 2025 Accepting new patients
Ou Health Partners, Inc CurrentSince Feb 5, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
South Shore Cardiovascular Associates Inc Cardiovascular Disease CurrentSince Aug 19, 2025 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1159 Nikki View Dr
Brandon, FL 33511
Phone (813) 661-6199

425 S Kings Ave
Brandon, FL 33511
Phone (813) 661-6199

13127 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 661-6199

1514 Jefferson Hwy
New Orleans, LA 70121

2002 12th Ave NW
Ste C
Ardmore, OK 73401
Phone (580) 224-0007

3200 Quail Springs Pkwy
Oklahoma City, OK 73134
Phone (405) 241-3795

3200 Quail Springs Pkwy
Ste 100
Oklahoma City, OK 73134
Phone (405) 418-5400

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23723/brand/1/csg/1/fhir/r4
  • Direct secure messaging: khaldia.khaled.p1@direct.ahgcardiology.nextgenshare.com

Organizations & group practices 9

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.

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1952796302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Quail Springs Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731342699",
            "country_code": "US",
            "telephone_number": "405-369-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALED",
        "first_name": "KHALDIA",
        "middle_name": "TAUFIQ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "308164",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME173439",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "308164",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME173439",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "308164",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME173439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.