Individual provider Active NPI

Kavita D Khanijow, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • New Port Richey, FL
National Provider Identifier
1346534948
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME136660 Issued in FL
Practice address
2202 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5071
Phone
(727) 203-5073
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME136660 FL Primary

Addresses

Primary practice location

2202 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5071

Mailing address

2202 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5071
Phone (727) 203-5073

Other practice location 1

26851 Tanic Dr Ste 102
Wesley Chapel, FL 33544-4614
Phone (727) 203-5073

Other identifiers 1

IdentifierTypeStateIssuer
N7668OtherFLHF MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181023000983 FL Practitioner - Obstetrics/Gynecology 0941553838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2202 Duck Slough Blvd
Suite 102
New Port Richey, FL 34655-5071
Phone (727) 203-5073

Hospital & facility affiliations

  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Gynecology LLC CurrentSince Sep 4, 2018 Accepting new patients
Trinity Urogynecology & Associates PLLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince May 3, 2023 Accepting new patients

Locations

2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993

2410 Northside Dr
Clearwater, FL 33761
Phone (727) 499-0358

2202 Duck Slough Blvd
Ste 102
Trinity, FL 34655
Phone (727) 203-5073

26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIEBDD/Endpoint/EIEBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBCBD

Organizations & group practices 2

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1346534948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 DUCK SLOUGH BLVD STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555071",
            "telephone_number": "727-203-5073",
            "fax_number": "727-205-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 DUCK SLOUGH BLVD STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555071",
            "telephone_number": "727-203-5073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26851 Tanic Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335444614",
            "country_code": "US",
            "telephone_number": "727-203-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANIJOW",
        "first_name": "KAVITA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME136660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HF MEDICARE",
            "identifier": "N7668",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.