NABILA KHAN
NPI 1104568088
Family Medicine in Fort Myers, FL

Q: What is Nabila Khan's NPI number?

The NPI number for Nabila Khan is 1104568088. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Q: What is Nabila Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nabila Khan was last updated on August 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2022PECOS EnrolledAccepts Medicare Assignment

2780 CLEVELAND AVE STE 709, FORT MYERS, FL 33901(239) 343-3831(239) 343-2301 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2025, Apr 11, 2022 (2 updates tracked since 2022).

On this page

About Nabila Khan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NABILA KHAN (NPI 1104568088) is an individual family medicine provider in Fort Myers, Florida, licensed in Florida (OS22646) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Southfield.

NPPES Registry Identity

NPI1104568088

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNABILA KHAN

Location Address2780 CLEVELAND AVE STE 709Fort Myers, FL 33901-5857

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3831 · Fax (239) 343-2301

Phone(239) 343-3831

Fax(239) 343-2301

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 11, 2022

Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1104568088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS22646

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2780 CLEVELAND AVE STE 709, Fort Myers, FL 33901

Open in Google Maps ↗

Secondary Practice Location 1

Location 122250 Providence Dr Ste 557Southfield, MI 48075-6213 · Phone (248) 849-3447

Other Identifiers 1

Medicaid127813800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nabila Khan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577943620

PECOS Enrollment IDI20250805000933

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANUELLA CONSTANTINO SIDEROPOULOS DO

Family Medicine