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MR. TAWFIQ KHASAWNEH M.D.
NPI 1396597464
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 03, 2024PECOS Enrolled
1600 SW ARCHER ROAD, GAINESVILLE, FL 32610(352) 265-0239(352) 265-1107 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, Apr 3, 2024 (2 updates tracked since 2024).

About Mr. Tawfiq Khasawneh M.d. NPPES

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

MR. TAWFIQ KHASAWNEH M.D. (NPI 1396597464) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396597464
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. TAWFIQ KHASAWNEHCredential: M.D.
Location Address1600 SW ARCHER ROADGainesville, FL 32610
Mailing Address1600 Sw Archer RoadGainesville, FL 32610 · (352) 265-0239 · Fax (352) 265-1107
Phone(352) 265-0239
Fax(352) 265-1107
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
✔ NPI 1396597464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1600 SW ARCHER ROAD, Gainesville, FL 32610
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Tawfiq Khasawneh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. CARL J PEPINE MD
Internal Medicine (Cardiovascular Disease)
1600 SW ARCHER ROAD, BOX 100371
GAINESVILLE, FL 32610
Alachua County (352) 846-0620
MRS. INGRID MAY PITTS PA C
Physician Assistant (Medical)
1600 SW ARCHER ROAD
GAINESVILLE, FL 32610
Alachua County (352) 265-0651
ROBIN D CARRIE ARNP
Nurse Practitioner
1600 SW ARCHER ROAD, M452
GAINESVILLE, FL 32610
Alachua County (352) 265-0139
MATTHEW GREGORY WRENCH
Radiology (Diagnostic Radiology)
1600 SW ARCHER ROAD
GAINESVILLE, FL 32610
Alachua County (352) 265-0291
MS. CARRIE ANN MILLS MS
Speech-Language Pathologist
1600 SW ARCHER ROAD
GAINESVILLE, FL 32610
Alachua County (352) 392-8888
DR. AMBER CARLIE MAULDIN DNP, AGACNP-BC
Nurse Practitioner
1600 SW ARCHER ROAD
GAINESVILLE, FL 32610
Alachua County (352) 265-0761
SANG HEE MIN MD
Internal Medicine (Hematology)
1600 SW ARCHER ROAD
GAINESVILLE, FL 32610
Alachua County (352) 273-7832
MS. NEILA J DONOVAN MA
Speech-Language Pathologist
1600 SW ARCHER ROAD
GAINESVILLE, FL 32610
Alachua County (352) 273-6188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tawfiq Khasawneh's NPI number?

The NPI number for Tawfiq Khasawneh is 1396597464. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Tawfiq Khasawneh located?

Tawfiq Khasawneh practices at 1600 SW Archer Road, Gainesville, FL 32610. The listed phone number is (352) 265-0239.

What is Tawfiq Khasawneh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tawfiq Khasawneh enrolled in Medicare?

Yes. Tawfiq Khasawneh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tawfiq Khasawneh was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.