Organization Active NPI

Raj Khambhati MD PA

  • Internal Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1124072699
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 48202 Issued in FL
Legal business name
RAJ KHAMBHATI MD PA
Practice address
2135 South Congress Avenue
Suite #3a
West Palm Beach, FL 33406
Phone
(561) 642-0307
Fax
(561) 642-7128
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Raj Khambhati, MDNPI 1891833802
Title
MD President
Phone
(561) 642-0307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME 48202 FL Primary

Addresses

Primary practice location

2135 South Congress Avenue
Suite #3a
West Palm Beach, FL 33406

Mailing address

2135 S Congress Ave
Suite #3a
West Palm Beach, FL 33406
Phone (561) 642-0307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090211000367 FL Part B Supplier - Clinic/Group Practice 1052476868 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0858933Raj Khambhati MD PA2135 S Congress Avenue #3a, West Palm Beach, FL 33406Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

2135 S Congress Ave
Ste 3A
Palm Springs, FL 33406
Phone (407) 642-0307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1124072699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE",
            "address_2": "SUITE #3A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33406",
            "telephone_number": "561-642-0307",
            "fax_number": "561-642-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SOUTH CONGRESS AVENUE",
            "address_2": "SUITE #3A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33406",
            "telephone_number": "561-642-0307",
            "fax_number": "561-642-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJ KHAMBHATI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "KHAMBHATI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "561-642-0307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 48202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.