ABDUL WASAY KHAN
NPI 1811483811
Pediatrics - Neonatal-Perinatal Medicine in Miami, FL

Active since July 03, 2018PECOS Enrolled
1611 NW 12TH AVE, MIAMI, FL 33136(305) 355-1122 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2025, Oct 8, 2025, Jun 24, 2024 and 2 more (5 updates tracked since 2018).

About Abdul Wasay Khan NPPES

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

ABDUL WASAY KHAN (NPI 1811483811) is an individual neonatal-perinatal medicine provider in Miami, Florida, licensed in Florida (ME174110) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1811483811
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameABDUL WASAY KHAN
Location Address1611 NW 12TH AVEMiami, FL 33136-1005
Mailing Address1611 Nw 12th AveMiami, FL 33136-1005 · (305) 355-1122
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 3, 2018
Last NPPES UpdateDecember 9, 20255 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1811483811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in FL · ME174110
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatrics · Hospice and Palliative MedicineTaxonomy 2080H0002X · License ME174110 (FL)
1611 NW 12TH AVE, Miami, FL 33136

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Abdul Wasay Khan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284983990
PECOS Enrollment IDI20251016000100
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


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE
MIAMI, FL 33136
Pediatrics (Pediatric Critical Care Medicine)
1611 NW 12TH AVE
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE, PHARMACY DEPARTMENT
MIAMI, FL 33136
Pharmacist (Pharmacotherapy)
1611 NW 12TH AVE, JACKSON MEMORIAL HOSPITAL PHARMACY DEPARTMENT
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE, ECC ET 1195
MIAMI, FL 33136
Emergency Medicine
1611 NW 12TH AVE, JACKSON MEMORIAL HOSPITAL
MIAMI, FL 33136
Internal Medicine (Nephrology)
1611 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Nurse Practitioner (Family)
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner
1611 NW 12TH AVE
MIAMI, FL 33136
Internal Medicine
1611 NW 12TH AVE
MIAMI, FL 33136
Nurse Practitioner (Critical Care Medicine)
1611 NW 12TH AVE, JACKSON HEALTH SYSTEM
MIAMI, FL 33136
Nurse Practitioner (Adult Health)
1611 NW 12TH AVE
MIAMI, FL 33136
Ophthalmology
1611 NW 12TH AVE, M851
MIAMI, FL 33136
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE, SOUTH WING RM 300
MIAMI, FL 33136
Registered Nurse
1611 NW 12TH AVE
MIAMI, FL 33136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811483811, enumerated as an "individual" on July 03, 2018.

The provider is located at 1611 NW 12TH AVE MIAMI, FL 33136 and the phone number is (305) 355-1122.

Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.