Individual provider Active NPI

Diana Khanna

  • Anesthesiologist Assistant
  • Lake Worth, FL
National Provider Identifier
1295088276
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
AA148 Issued in FL
Practice address
5065 S State Road 7
Lake Worth, FL 33449-5447
Phone
(561) 273-2340
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X AA148 FL Primary

Addresses

Primary practice location

5065 S State Road 7
Lake Worth, FL 33449-5447

Mailing address

1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896
Phone (954) 838-2371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121113000162 FL Practitioner - Anesthesiology Assistant 2264683671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Miami Anesthesia Services LLCGroup PAC ID 1355651837, 168 clinicians

Practice addresses (Care Compare)

7431 Gladiolus Dr
Fort Myers, FL 33908-5122
Phone (239) 689-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
AA148FLMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Anesthesia Services LLC CurrentSince Feb 1, 2023 Accepting new patients
Anesthesia Dynamics LLC CurrentSince Feb 1, 2023 Accepting new patients
Bethesda Anesthesia Associates, Inc. Current Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste 520
Boynton Beach, FL 33437
Phone (561) 374-5550

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

7431 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 689-7000

5065 S State Road 7
Ste 101
Lake Worth, FL 33449
Phone (561) 273-2340

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

13837 Circa Crossing Dr
Ste 100
Lithia, FL 33547
Phone (352) 256-2855

5959 NW 7th St
Miami, FL 33126
Phone (305) 264-1000

4161 NW 5th St
Ste 100
Plantation, FL 33317
Phone (954) 324-2329

10521 SW Village Center Dr
Ste 104
Port St Lucie, FL 34987
Phone (772) 345-8600

2441 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 563-1144

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1295088276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "954-838-2371",
            "fax_number": "954-851-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 S STATE ROAD 7",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495447",
            "telephone_number": "561-273-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "FL",
            "license": "AA148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.