NPIMap

Organization Active NPI

Bokhari Medical Consortium Inc

  • Adult Mental Health Clinic/Center
  • Largo, FL
National Provider Identifier
1982314241
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BOKHARI MEDICAL CONSORTIUM INC
Practice address
716 Seminole Blvd
Largo, FL 33770-3627
Phone
(844) 229-8671
NPI assigned
Nov 28, 2022
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Hassan Bokhari, MDNPI 1811158082
Title
Medical Directory
Phone
(844) 229-8671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

716 Seminole Blvd
Largo, FL 33770-3627

Mailing address

716 Seminole Blvd
Largo, FL 33770-3627
Phone (727) 238-3241

Other names 1

  • Bokhari Medical Consortium Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111002193 FL Part B Supplier - Clinic/Group Practice 1254701063 Receives reassigned benefits from 11 practitioners
Practice locations: Brooksville, FL; Largo, FL; New Port Richey, FL

National Provider Directory

National Provider Directory
Tax ID family
Bokhari Medical Consortium2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5411 Grand Blvd
Ste 109
New Prt Rchy, FL 34652
Phone (727) 842-3445

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1982314241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703627",
            "telephone_number": "727-238-3241",
            "fax_number": "727-238-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703627",
            "telephone_number": "844-229-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOKHARI MEDICAL CONSORTIUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BOKHARI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTORY",
        "authorized_official_telephone_number": "844-229-8671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bokhari Medical Consortium",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.