Organization Active NPI

Family Allergy Asthma & Sinus Care, P.a.

  • Allergy & Immunology Physician
  • Charlotte, NC
National Provider Identifier
1427318062
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2012-00056 Issued in NC
Legal business name
FAMILY ALLERGY ASTHMA & SINUS CARE, P.A.
Practice address
10370 Park Rd
Suite 202
Charlotte, NC 28210-8508
Phone
(704) 817-2022
Fax
(704) 817-2024
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Sanjay J Khiani, MDNPI 1063605293
Title
President
Phone
(704) 817-2022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 2012-00056 NC Primary

Addresses

Primary practice location

10370 Park Rd
Suite 202
Charlotte, NC 28210-8508

Mailing address

10370 Park Rd
Suite 202
Charlotte, NC 28210-8508
Phone (704) 817-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120814000596 NC Part B Supplier - Clinic/Group Practice 3779739354 Receives reassigned benefits from 1 practitioner
Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2061453Family Allergy Asthma & Sinus Care, PA10370 Park Road, Suite 202, Charlotte, NC 28210Certificate of waiverJun 27, 2027

National Provider Directory

National Provider Directory

Locations

10370 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 817-2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1427318062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10370 PARK RD",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108508",
            "telephone_number": "704-817-2022",
            "fax_number": "704-817-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 PARK RD",
            "address_2": "SUITE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108508",
            "telephone_number": "704-817-2022",
            "fax_number": "704-817-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ALLERGY ASTHMA & SINUS CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "KHIANI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-817-2022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "2012-00056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.