Active NPI
Trisha Khanna, M.D.
- Dermatology Physician
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME145818
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- 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
Practice addresses (Care Compare)
1580 Santa Barbara Blvd
The Villages, FL 32159-6827
Phone (352) 259-2159
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 110 |
| Removal of skin cancer | 15 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (9 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Medical Associates of Florida Healthcare, PA | Current | Accepting new patients | |
| Premier Medical Associates All Florida, LLC | Current | Accepting new patients | |
| Premier Urgent Care of the Villages LLC | Current | Accepting new patients | |
| Premier Medical Associates of Florida LLC | Current | Accepting new patients | |
| Synergy Inpatient Services LLC | Current | Accepting new patients | |
| Premier Medical Associates of Florida LLC | Current | Accepting new patients | |
| Premier Specialty Alliance Inc | Current | Accepting new patients | |
| Quantum Inpatient Medical Services LLC | Past | Accepting new patients | |
| Premier Psych LLC | Past | 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.
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1023612827
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1093829442
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1366046179
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1477970606
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1588983837
-
- Dermatology Physician
- Lady Lake, FL
- NPI 1598309916
-
- Internal Medicine Physician
- The Villages, FL
- NPI 1386404127
-
- Clinical Laboratory Director (Non-physician)
- Ocala, FL
- NPI 1417475872
-
- Multi-Specialty Clinic/Center
- The Villages, FL
- NPI 1952016842
-
- Psychiatry Physician
- The Villages, FL
- NPI 1083246441
-
- Hospitalist Physician
- The Villages, FL
- NPI 1942840236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.