Mahmoud S Khalifa · Internal Medicine Physician

2471 Grand Ave Apt 6b, Bronx, NY 10468-5178

Overview

Mahmoud S Khalifa is a Internal Medicine Physician practicing in Daytona Beach, Florida. The National Provider Identifier (NPI) is #1023660198, which was assigned on July 9, 2019, and the registration record was last updated on July 23, 2025. The practitioner's main practice location is at 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167; the contact telephone number is 3862311091, and the fax number is 3862311092. The primary taxonomy of Mahmoud S Khalifa is Internal Medicine Physician (207R00000X). Mahmoud S Khalifa is licensed to practice in the state of Florida (#ME155253).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Information

NPI 1023660198
Entity Type Individual
Provider Name DR. MAHMOUD S KHALIFA
Gender Male
Credential MD
Practice Address 301 Memorial Medical Pkwy
Daytona Beach
FL 32117-5167
Practice Telephone 3862311091
Practice Fax Number 3862311092
Mailing Address 2471 Grand Ave Apt 6b
Bronx
NY 10468-5178
Mailing Telephone 3479865003
Certification Date 2025-07-23
Enumeration Date 2019-07-09
Last Update Date 2025-07-23
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 2264817295
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name MAHMOUD SHUKRI ABDELKADER KHALIFA
Primary Specialty INTERNAL MEDICINE
Organization Legal Name SOUND PHYSICIANS OF FLORIDA IV, LLC
Address 60 Memorial Medical Pkwy
Palm Coast
FL 32164-5980

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207R00000XInternal MedicineME155253FL

Secondary Practice Locations

AddressTelephoneFax
1650 Grand Concourse, Bronx, NY 1045776067185901800

Taxonomy Information

Primary Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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Location Information

Street Address 2471 GRAND AVE APT 6B
City BRONX
State NY
Zip Code 10468-5178
Country US

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Provider NameAddressTaxonomyEnumeration Date
New York Healthcare & Wellness LLC 3005 Grand Concourse, Bronx, NY 10468-1428Multi-Specialty Clinic/Center2025-08-15
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.