Active NPI
Melina Josephine Khwaja, M.D.
- Emergency Medicine Physician
- Stony Brook, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 226774
- Practice address
- Stony Brook University Hospital
HSC, L-4, RM 080
Stony Brook, NY 11794-8350 - Phone
- (631) 444-2478
- Fax
- (631) 444-3919
- NPI assigned
- Jun 18, 2006
- Last updated
- Jan 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 226774 | NY | Primary |
Addresses
Primary practice location
Stony Brook University Hospital
HSC, L-4, RM 080
Stony Brook, NY 11794-8350
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Phone (631) 444-2499
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02426882 | Medicaid | NY | |
| 7384548 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
383 N Sunrise Service Rd
Suite 8
Manorville, NY 11949-9603
Phone (631) 716-5410
403 Little E Neck Rd
West Babylon, NY 11704-6518
Phone (631) 716-5463
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.13 of 100
- Quality
- 66.26
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li Urgent Care PC | Emergency Medicine | Current | Accepting new patients |
Locations
403 Little East Neck Rd
West Babylon, NY 11704
Phone (631) 716-5463
Interoperability endpoints
- https://api.platform.athenahealth.com/8960/brand/1/csg/1/fhir/r4
- melina.khwaja.1@8960.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1164467544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117900989",
"telephone_number": "631-444-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STONY BROOK UNIVERSITY HOSPITAL",
"address_2": "HSC, L-4, RM 080",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948350",
"telephone_number": "631-444-2478",
"fax_number": "631-444-3919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHWAJA",
"first_name": "MELINA",
"middle_name": "JOSEPHINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "226774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02426882",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7384548",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.