Individual provider Active NPI

Gaurav Khanna, MD

  • Pulmonary Disease Physician
  • San Diego, CA
National Provider Identifier
1235319500
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C167024 Issued in CA
Practice address
8008 Frost St Ste 401
San Diego, CA 92123-4209
Phone
(858) 650-5036
Fax
(858) 650-5039
NPI assigned
Nov 5, 2007
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35089734 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.089734 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C167024 CA
Pulmonary Disease Physician 207RP1001X 35.089734 OH
Pulmonary Disease Physician 207RP1001X C167024 CA Primary

Addresses

Primary practice location

8008 Frost St Ste 401
San Diego, CA 92123-4209

Mailing address

5585 Shannon Ridge LN
San Diego, CA 92130-4810
Phone (443) 824-3660

Other practice location 1

200 Eden Ave
Cincinnati, OH 45219-4231
Phone (513) 475-8523

Other identifiers 2

IdentifierTypeStateIssuer
35.089734OtherOHSTATE LICENSE
C167024OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210525001520 CA Practitioner - Critical Care (Intensivists) 5890862544 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Avicenna Critical Care, PCGroup PAC ID 6507290657, 5 clinicians
Chest Medicine and Critical Care Medical Group IncGroup PAC ID 6103898259, 26 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

1940 El Cajon Blvd
San Diego, CA 92104-1005
Phone (619) 543-4500

250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-3600

3075 Health Ctr Dr
San Diego, CA 92123-2773
Phone (858) 939-5864

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
73.46
Improvement activities
20
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C167024CAMDCritical Care Medicine (Internal Medicine) Physician
35.089734OHMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jan 30, 2023 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Jan 30, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 1, 2021 Accepting new patients
Avicenna Critical Care, PC Internal Medicine CurrentSince Aug 31, 2024 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Chest Medicine and Critical Care Medical Group, Inc. Internal Medicine CurrentSince May 1, 2021 Accepting new patients
KND Development 59 LLC CurrentSince Aug 1, 2022 Accepting new patients
KND Development 59, LLC CurrentSince Aug 1, 2022 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients
The Metrohealth System Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

8665 La Mesa Blvd
La Mesa, CA 91942
Phone (619) 465-0702

1940 El Cajon Blvd
San Diego, CA 92104
Phone (619) 543-4500

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

2929 Health Center Dr
San Diego, CA 92123
Phone (858) 939-6531

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8008 Frost St
Ste 401
San Diego, CA 92123
Phone (858) 309-5931

8555 Aero Dr
Ste 104
San Diego, CA 92123
Phone (858) 650-5036

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1235319500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 SHANNON RIDGE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304810",
            "telephone_number": "443-824-3660",
            "fax_number": "858-650-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 FROST ST STE 401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234209",
            "telephone_number": "858-650-5036",
            "fax_number": "858-650-5039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Eden Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452194231",
            "country_code": "US",
            "telephone_number": "513-475-8523",
            "fax_number": "513-475-7327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "GAURAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35089734",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.089734",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C167024",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.089734",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C167024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35.089734",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C167024",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.