Individual provider Active NPI

Saba Khan, D.O.

  • Diagnostic Radiology Physician
  • Melbourne, FL
National Provider Identifier
1982044285
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS16289 Issued in FL
Practice address
1800 W Hibiscus Blvd Ste 100
Melbourne, FL 32901-2624
Phone
(217) 263-8003
NPI assigned
Jul 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X DO34722 DC
Diagnostic Radiology Physician 2085R0202X OS16289 FL Primary

Addresses

Primary practice location

1800 W Hibiscus Blvd Ste 100
Melbourne, FL 32901-2624

Mailing address

2300 M St NW FL 8
Washington, DC 20037-1434
Phone (407) 435-0071

Other practice location 1

6850 Lows Rd Ste 317
Bloomsburg, PA 17815-8708
Phone (570) 784-6243

Other identifiers 1

IdentifierTypeStateIssuer
DO034722MedicaidDC

Other names 1

  • Dr. Saba Yazdani Khan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191111000138 FL Practitioner - Diagnostic Radiology 0345598926 Reassigns benefits to 4 organizations
I20241116000068 PA Practitioner - Diagnostic Radiology 0345598926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
Ohri LLCGroup PAC ID 4981912169, 130 clinicians
Susquehanna Valley Diagnostic Imaging Inc.Group PAC ID 0547434599, 3 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Ocoee, FL 34761-3400
Phone (407) 578-0033

105 W Miller St
Orlando, FL 32806-3910
Phone (407) 648-3800

1222 S Orange Ave
Orlando, FL 32806-1215

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (722) 589-3186

1900 Don Wickham Dr
Clermont, FL 34711-1979

22 W Underwood St
Orlando, FL 32806-1110
Phone (407) 648-3800

250 N Wickham Rd
Melbourne, FL 32935-8625
Phone (321) 752-1200

32 W Gore St
Orlando, FL 32806-1134

380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (407) 767-1200

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

6850 Lows Rd
Suite 317
Bloomsburg, PA 17815-8708
Phone (570) 784-6243

76 W Underwood St
Orlando, FL 32806-1110

83 W Miller St
Orlando, FL 32806-2031
Phone (321) 841-8555

86 W Underwood St
Orlando, FL 32806-1110
Phone (407) 896-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO34722DCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohri, LLC Single Specialty CurrentSince Jun 22, 2023 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Orlando Health Medical Group Inc Single Specialty CurrentSince Jun 22, 2023 Accepting new patients
Medical Technology Transfer Corporation Single Specialty Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jun 22, 2023 Accepting new patients
Monument-9a Imaging & Diagnostic Center L L C CurrentSince Dec 3, 2024 Accepting new patients
Susquehanna Valley Diagnostic Imaging Inc. Single Specialty CurrentSince Oct 15, 2024 Accepting new patients
Medical Technology Transfer Corporation Single Specialty CurrentSince Oct 1, 2023 Accepting new patients
Ohri, LLC CurrentSince Jun 22, 2023 Accepting new patients
Omni Healthcare, Inc. Single Specialty CurrentSince Mar 21, 2024 Accepting new patients
Ohri, LLC Single Specialty Current Accepting new patients
Bayfront Health Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Omni Healthcare, Inc Diagnostic Radiology PastSince Mar 21, 2024 Accepting new patients
Joy Armillay, Ed.D., R.D., LDN Single Specialty Past Accepting new patients
Gabriela M Yurkanin DPM PC Single Specialty PastSince Mar 5, 2023 Accepting new patients

Locations

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

6300 N Wickham Rd
Ste 132A
Melbourne, FL 32940
Phone (321) 253-4032

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

6300 N Wickham Rd
Ste 100
Melbourne, FL 32940
Phone (321) 726-3855

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

6100 Minton Rd NW
Ste 100
Palm Bay, FL 32907

5201 Babcock St NE
Ste 5
Palm Bay, FL 32905
Phone (321) 676-5323

2201 Central Ave
#100
St Petersburg, FL 33713
Phone (727) 321-7057

6850 Lows Rd
Ste 317
Bloomsburg, PA 17815
Phone (570) 784-6243

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18643/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1982044285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 M ST NW FL 8",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371434",
            "telephone_number": "407-435-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W HIBISCUS BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012624",
            "telephone_number": "217-263-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 Lows Rd Ste 317",
            "address_purpose": "LOCATION",
            "city": "Bloomsburg",
            "state": "PA",
            "postal_code": "178158708",
            "country_code": "US",
            "telephone_number": "570-784-6243",
            "fax_number": "570-784-6242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SABA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "DO34722",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS16289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DO034722",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SABA",
            "last_name": "KHAN",
            "middle_name": "YAZDANI",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.