Uma Khanna, MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME42945 Issued in FL

Legal business name

UMA KHANNA, MD PA

Practice address

1801 SE 1St Ave
Fort Lauderdale, FL 33316-2801

Phone

(954) 523-0106

Fax

(954) 525-0540

NPI assigned

Apr 23, 2013

Last updated

Apr 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Uma Khanna, MDNPI 1255342432

Title

Owner

Phone

(954) 523-0106

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uma Khanna, M. D.

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1255342432
  Medicare reassignment Care Compare group NPD Authorized official
• Gesie Oliscat, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1063091460
  Medicare reassignment Care Compare group NPD (past)
• Lucy Elveus, APRN

  • Nurse Practitioner
  • Atlantis, FL
  • NPI 1306621701
  Medicare reassignment
• Anuj Khanna, DO

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1649809633
  NPD (past)
• Karen Webb

  • Primary Care Nurse Practitioner
  • Fort Lauderdale, FL
  • NPI 1194118497
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1336583111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162801",
            "telephone_number": "954-523-0106",
            "fax_number": "954-525-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE 1ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162801",
            "telephone_number": "954-523-0106",
            "fax_number": "954-525-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMA KHANNA, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-523-0106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME42945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048449100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfredo Talay Ulloa, LMT
• Ultamed Corporation
• Ultimate Soul Psych Inc
• Jerry Ulysse
• Sharon Michelle Ulysse, APRN
• Beth Umansky, P.A.-C.
• Bolidy D. Ung, MD
• Borasamy Nicole Ung, DDS
• Ruben A Ungaro, M.D.
• Rachael Unger, PSY.D.

• Family Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.