Arun P Khazanchi, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME86268 Issued in FL

Practice address

11505 Palmbrush Trail
Suite 200
Lakewood Ranch, FL 34202-2904

Phone

(941) 334-9040

Fax

(941) 334-9030

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Arun P Khazanchi Professional name

Medicare fee-for-service enrollment

Enrolled in FL, HI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Gastroenterology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premiere Gi PLLCGroup PAC ID 4284098906, 3 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299
• Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premiere Gi PLLC

  • Gastroenterology Physician
  • Lakewood Ranch, FL
  • NPI 1336829894
  Medicare reassignment Care Compare group NPD Authorized official
• SMH Physician Services Inc

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1346295292
  Medicare reassignment Care Compare group NPD
• Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1710945969
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • North Venice, FL
  • NPI 1013534445
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1003961236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 PALMBRUSH TRAIL",
            "address_2": "SUITE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022904",
            "telephone_number": "941-334-9040",
            "fax_number": "941-334-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 PALMBRUSH TRAIL",
            "address_2": "SUITE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022904",
            "telephone_number": "941-334-9040",
            "fax_number": "941-334-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAZANCHI",
        "first_name": "ARUN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME86268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARUN",
            "last_name": "KHAZANCHI",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly F Kempton
• Mary Kennedy
• Beth Christine Kerneklian, PTA
• Ashley Donelle Ahlquist Kessler, DO
• Hannah Fareen Khan
• Kids First Pediatrics
• Laura Elizabeth Kiely, PA
• Kind Smiles Dental Health
• Briana King
• Yogesh Kiranraj Sanghvi

• Gastroenterology Physician in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.