Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417905480 Individual Practitioner Female Practitioner

Dr. Nagwa Khadr , MD

Pediatrics • Melbourne, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Nagwa Khadr, MD is a registered healthcare professional specializing in Pediatrics in Melbourne, FL. Official NPI practice address is registered at 2120 SARNO RD.

Practice Location & Contact Primary Location

Practice Address

2120 Sarno Rd

Melbourne, FL 329353084

Telephone 3212416800
Fax 3212416890
Associated Practice Facility / Clinic
🏢 Brevard Health Alliance Inc Facility NPI 1013355726

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Melbourne, FL (4160 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME161425

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CT 50618

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License PA MD453558

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MI 4301060896

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
118109400 (FL)
Medicaid State Provider ID
4290947 (MI)
Medicaid State Provider ID
4956925 (MI)
Commercial Insurance / Payer ID Bcbsm Bcn Com Blue Choice
350D410030 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013347277

Doctor of Psychology (Psy.D.)

Christy Powell , APRN

Nurse Practitioner - Family

NPI 1013481050

Advanced Practice Registered Nurse

Dr. Lindsay Rule , DMD

Dentist - General Practice

NPI 1033471255

Doctor of Dental Medicine

Jessica Regan , PA

Physician Assistant

NPI 1033592597

Physician Assistant

Vimari De La Cruz , ARNP, FNP-C

Nurse Practitioner - Family

NPI 1033795760

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Meagan Sumner , PA-C

Physician Assistant

NPI 1043084254

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 07, 2023

Registered at 2120 SARNO RD, MELBOURNE, FL 329353084 (Tel: 3212416800)

📍
Updated Business Mailing Address August 07, 2023

Registered at PO BOX 1137, MELBOURNE, FL 329021137 (Tel: 3219529696)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2023

Pediatrics (License #50618 in CT)

NPI Profile Active August 31, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2016

Registered at 809 W DRYDEN RD, METAMORA, MI 484558961 (Tel: 8106784000)

📍
Updated Business Mailing Address August 31, 2016

Registered at 809 W DRYDEN RD, METAMORA, MI 484558961 (Tel: 8106784000)

👤
Provider Name / Credentials Updated August 31, 2016

Recorded as NAGWA KHADR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2016

Pediatrics (License #4301060896 in MI)

🟢
Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417905480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: November 08, 2023
Sole Proprietor: No

Mailing Address

Po Box 1137

Melbourne, FL 329021137

Phone: 3219529696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.