Active NPI
Ansab Khwaja, MD PC
- Orthopaedic Surgery Physician
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- FK1223750
- Practice address
- 625 9TH Ave Ste 210
Longview, WA 98632-2465 - Phone
- (360) 501-3400
- Fax
- (360) 423-5682
- NPI assigned
- Apr 21, 2016
- Last updated
- Mar 12, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | FK1223750 | WA | Primary |
Addresses
Primary practice location
625 9TH Ave Ste 210
Longview, WA 98632-2465
Mailing address
625 9TH Ave Ste 210
Longview, WA 98632-2465
Phone (360) 501-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366896797 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Washington School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 9TH Ave
Suite 210
Longview, WA 98632-2465
Phone (360) 501-3400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 13 |
| Knee replacement | 23 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FK1223750 | WA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longview Orthopedic Associates, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
| Ansab Khwaja MD PC | Orthopaedic Surgery | Current | Accepting new patients |
| Eastside Orthopedics & Sports Medicine, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
25050 SE Stark St
Ste 301
Gresham, OR 97030
Phone (503) 659-1769
6542 SE Lake Rd
Ste 201
Portland, OR 97222
Phone (503) 659-1769
625 9th Ave
Ste 210
Longview, WA 98632
Phone (360) 501-3400
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Longview, WA
- NPI 1003865072
-
- Orthopaedic Surgery Physician
- Clackamas, OR
- NPI 1225567928
-
- Orthopaedic Surgery Physician
- Milwaukie, OR
- NPI 1083397517
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth SW Heart & Vascular Center
- Cardiovascular Disease Physician
- Vancouver, WA
- NPI 1003194911
Hospital
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1366896797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 9TH AVE STE 210",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322465",
"telephone_number": "360-501-3400",
"fax_number": "360-423-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 9TH AVE STE 210",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322465",
"telephone_number": "360-501-3400",
"fax_number": "360-423-5682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHWAJA",
"first_name": "ANSAB",
"credential": "MD PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-21",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "FK1223750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366896797",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.