Individual provider Active NPI

Peter Aloysius Khamvongsa, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Miami, FL
National Provider Identifier
1356385918
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME88695 Issued in FL
Practice address
8950 N Kendall Dr
Medical Arts West Suite 501
Miami, FL 33176-2144
Phone
(305) 282-4241
Fax
(305) 283-1882
NPI assigned
Jun 15, 2006
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME88695 FL
Gynecology Physician 207VG0400X ME88695 FL
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME88695 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr
Medical Arts West Suite 501
Miami, FL 33176-2144

Mailing address

10445 SW 124TH St
Miami, FL 33176-4721
Phone (305) 801-9275

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
I20090302000396 FL Practitioner - Obstetrics/Gynecology 1557427481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Single Specialty CurrentSince Apr 16, 2020 Accepting new patients
OB Hospitalist Group LLC Single Specialty Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Apr 16, 2020 Accepting new patients
Vitalmd Group Holding LLC Single Specialty CurrentSince Aug 1, 2010 Accepting new patients
R J Bettini Single Specialty Past Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8950 N Kendall Dr
Ste 302
Miami, FL 33176
Phone (305) 595-4049

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1356385918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 SW 124TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331764721",
            "telephone_number": "305-801-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "MEDICAL ARTS WEST SUITE 501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-282-4241",
            "fax_number": "305-283-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMVONGSA",
        "first_name": "PETER",
        "middle_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME88695",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME88695",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME88695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.