Active NPI
Kavita D Khanijow, MD
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- New Port Richey, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- ME136660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N7668 | Other | FL | HF 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
Enrollment records 1
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
- Adventhealth Wesley Chapel
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Gynecology LLC | Current | Accepting new patients | |
| Trinity Urogynecology & Associates PLLC | Urogynecology and Reconstructive Pelvic Surgery | Current | 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
- https://fhir4.healow.com/fhir/r4/EIEBDD/Endpoint/EIEBDD
- 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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- New Port Richey, FL
- NPI 1427747872
-
- Gynecology Physician
- Bradenton, FL
- NPI 1578077970
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Trinity, FL
- NPI 1891741849
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.