Individual provider Active NPI

Trisha Khanna, M.D.

  • Dermatology Physician
  • The Villages, FL
National Provider Identifier
1427554203
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME145818 Issued in FL
Practice address
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone
(352) 516-3972
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME145818 FL Primary
Procedural Dermatology Physician 207NS0135X ME145818 FL

Addresses

Primary practice location

1580 Santa Barbara Blvd
The Villages, FL 32159-6827

Mailing address

9927 Giffin CT
Windermere, FL 34786-8932
Phone (352) 516-3972

Other practice location 1

1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 243-9741

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
I20220705002542 FL Practitioner - DermatologyPractitioner - General Practice 6406289461 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: General Practice
Education
Columbia University College of Physicians and Surgeons, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians

Practice addresses (Care Compare)

1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions110
Removal of skin cancer15
Removal or shaving of skin growth1-10
Skin biopsy66

National Provider Directory

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

Practice roles (9 of 11)

OrganizationSpecialtyStatusNew patients
Premier Medical Associates of Florida Healthcare, PA CurrentSince Aug 1, 2022 Accepting new patients
Premier Medical Associates All Florida, LLC CurrentSince Aug 1, 2022 Accepting new patients
Premier Urgent Care of the Villages LLC CurrentSince Nov 11, 2025 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Aug 1, 2022 Accepting new patients
Synergy Inpatient Services LLC CurrentSince Sep 8, 2025 Accepting new patients
Premier Medical Associates of Florida LLC CurrentSince Aug 1, 2022 Accepting new patients
Premier Specialty Alliance Inc CurrentSince Aug 1, 2022 Accepting new patients
Quantum Inpatient Medical Services LLC PastSince Feb 10, 2020 Accepting new patients
Premier Psych LLC PastSince Feb 5, 2020 Accepting new patients

Locations

15701 Highway 50
Clermont, FL 34711

1800 SE 17th St
Ste 700
Ocala, FL 34471
Phone (352) 789-6008

8958 Conroy Windermere Rd
Orlando, FL 32835
Phone (321) 430-1265

5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611

1580 Santa Barbara Blvd
Ste 3
The Villages, FL 32159
Phone (352) 565-7675

1580 Santa Barbara Blvd
Ste D
The Villages, FL 32159
Phone (352) 508-1512

1511 Buenos Aires Blvd
The Villages, FL 32159

1511 Buenos Aires Blvd
Ste A
The Villages, FL 32159
Phone (352) 753-6846

1580 Santa Barbara Blvd
The Villages, FL 32159
Phone (352) 494-6882

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1427554203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9927 GIFFIN CT",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868932",
            "telephone_number": "352-516-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596827",
            "telephone_number": "352-516-3972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-243-9741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "TRISHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME145818",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME145818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.