Individual provider Active NPI

Melina Josephine Khwaja, M.D.

  • Emergency Medicine Physician
  • Stony Brook, NY
National Provider Identifier
1164467544
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
226774 Issued in NY
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02426882MedicaidNY
7384548OtherNYAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319001092 NY Practitioner - Emergency Medicine 1153211289 Reassigns benefits to 1 organization

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
Li Urgent Care PCGroup PAC ID 8426273210, 15 clinicians

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 100Reported as individual
Quality
66.26
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Li Urgent Care PC Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients

Locations

403 Little East Neck Rd
West Babylon, NY 11704
Phone (631) 716-5463

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8960/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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

Verify at the official NPI Registry.