Organization Active NPI

Trinity Urogynecology & Associates PLLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • New Port Richey, FL
National Provider Identifier
1427747872
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
Legal business name
TRINITY UROGYNECOLOGY & ASSOCIATES PLLC
Practice address
2202 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5071
Phone
(727) 203-5073
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Kavita Khanijow, MDNPI 1346534948
Title
Owner
Phone
(727) 203-5073

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
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VF0040X Primary

Addresses

Primary practice location

2202 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5071

Mailing address

2202 Duck Slough Blvd Ste 102
New Port Richey, FL 34655-5071
Phone (727) 203-5073

Other practice location 1

26851 Tanic Dr Ste 102
Wesley Chapel, FL 33544-4614
Phone (727) 203-5073

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519002998 FL Part B Supplier - Clinic/Group Practice 8325404189 Receives reassigned benefits from 1 practitioner
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

2202 Duck Slough Blvd
Ste 102
Trinity, FL 34655
Phone (727) 203-5073

2224 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544

26851 Tanic Dr
Ste 102
Wesley Chapel, FL 33544
Phone (727) 203-5073

Practitioners & affiliated clinicians

Practitioners 2

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": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1427747872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 DUCK SLOUGH BLVD STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555071",
            "telephone_number": "727-203-5073",
            "fax_number": "727-205-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 DUCK SLOUGH BLVD STE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555071",
            "telephone_number": "727-203-5073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26851 Tanic Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335444614",
            "country_code": "US",
            "telephone_number": "727-203-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY UROGYNECOLOGY & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "KHANIJOW",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-203-5073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.