| Omar A Khashaba, MD | |
|
110 Longwood Ave, Rockledge, FL 32955-2828 | |
| (321) 636-2211 | |
| Not Available |
| Full Name | Omar A Khashaba |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 110 Longwood Ave, Rockledge, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942467576 | NPI | - | NPPES |
| 004665600 | Medicaid | FL | |
| P02008560 | Other | FL | RRMEDICARE PTAN |
| FY303T | Other | FL | MEDICARE PTAN |
| FY303P | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME112373 (Florida) | Secondary |
| 207R00000X | Internal Medicine | 97357 (Georgia) | Secondary |
| 208M00000X | Hospitalist | ME112373 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Canaveral Hospital | Cocoa beach, FL | Hospital |
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Palm Bay Hospital | Palm bay, FL | Hospital |
| Viera Hospital | Melbourne, FL | Hospital |
| Warm Springs Medical Center | Warm springs, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Medical Group Llc | 7416100672 | 596 |
| Hospital Medicine Services Of Fl, Llc | 9234596743 | 471 |
| Rural Physicians Group-pannu Pllc | 0345467486 | 103 |
| Entity Name | Cogent Healthcare Of Jacksonville, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124252333 PECOS PAC ID: 1759435944 Enrollment ID: O20090824000043 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Floridian Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831530385 PECOS PAC ID: 8527297217 Enrollment ID: O20140128001837 |
| Entity Name | Rockledge Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538523295 PECOS PAC ID: 1254621048 Enrollment ID: O20160607001833 |
| Entity Name | Hospital Physician Services Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
| Entity Name | Sound Physicians Of Florida Iv, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740633635 PECOS PAC ID: 6002198082 Enrollment ID: O20170127000352 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Entity Name | Collins Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457839524 PECOS PAC ID: 9234476920 Enrollment ID: O20190204002452 |
| Entity Name | Hospitalist Medicine Physicians Of Florida - Palm Coast, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063058105 PECOS PAC ID: 3870920861 Enrollment ID: O20200304001501 |
| Entity Name | Deerfield Beach Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366100364 PECOS PAC ID: 3274928270 Enrollment ID: O20220520002459 |
| Entity Name | Hospital Medicine Services Of Fl, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Omar A Khashaba, MD 110 Longwood Ave, Rockledge, FL 32955-2828 Ph: (321) 636-2211 | Omar A Khashaba, MD 110 Longwood Ave, Rockledge, FL 32955-2828 Ph: (321) 636-2211 |