NPIMap

Individual provider Active NPI

Pankaj M Khemka, M.D.

  • Infectious Disease Physician
  • Anaheim, CA
National Provider Identifier
1295826790
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G75135 Issued in CA
Practice address
1211 W la Palma Ave Ste 410
Anaheim, CA 92801-2806
Phone
(714) 288-8887
Fax
(714) 758-2927
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G75135 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave Ste 410
Anaheim, CA 92801-2806

Mailing address

480 N Chandler Ranch Rd
Orange, CA 92869-4504
Phone (714) 288-8887

Other identifiers 1

IdentifierTypeStateIssuer
00G751350MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000141 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8527183243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of California, Irvine, California College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1211 W la Palma Ave
Suite 410
Anaheim, CA 92801-2806
Phone (714) 288-8887

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75135CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pankaj Kumar, M.D.,LLC Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Saint Joseph Hospital Pharmacy Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Saint Joseph Health System, Inc Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1295826790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N CHANDLER RANCH RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694504",
            "telephone_number": "714-288-8887",
            "fax_number": "714-758-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE STE 410",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012806",
            "telephone_number": "714-288-8887",
            "fax_number": "714-758-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEMKA",
        "first_name": "PANKAJ",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G75135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G751350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.