Individual provider Active NPI

Zafar M Khan, M.D.

  • Dermatopathology (Pathology) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1962584078
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
ME 75793 Issued in FL
Practice address
12300 Alt. A1A
Suite 204
Palm Beach Gardens, FL 33410-8361
Phone
(561) 691-5667
Fax
(561) 691-5669
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X ME 75793 FL Primary

Addresses

Primary practice location

12300 Alt. A1A
Suite 204
Palm Beach Gardens, FL 33410-8361

Mailing address

12300 Alt A1A
Suite 204
Palm Beach Gardens, FL 33410-2205
Phone (561) 691-5667

Other identifiers 3

IdentifierTypeStateIssuer
2007-14869OtherFLOCCUPATIONAL LICENSE
265144100MedicaidFL
51447OtherBCBS

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
I20040910000727 FL Practitioner - PathologyPractitioner - Dermatology 9335116391 Practice locations: Palm Beach Gardens, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 75793FLMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Gardens Regional Surgery Center LLC Past Accepting new patients
Laboratory Corporation of America Past Accepting new patients
Mid-Florida Pathology LLC Dermatopathology Past Accepting new patients
Ameripath Florida LLC Past Accepting new patients
Ameripath Florida LLC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1962584078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12300 ALT A1A",
            "address_2": "SUITE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102205",
            "telephone_number": "561-691-5667",
            "fax_number": "561-691-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 ALT. A1A",
            "address_2": "SUITE 204",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334108361",
            "telephone_number": "561-691-5667",
            "fax_number": "561-691-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZAFAR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME 75793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL LICENSE",
            "identifier": "2007-14869",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265144100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.