Individual provider Active NPI

Manmohan S Khokhar, MD

  • Physical Medicine & Rehabilitation Physician
  • Richmond, VA
National Provider Identifier
1447229000
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101039867 Issued in VA
Practice address
1401 Johnston Willis Drive
5 E in PT Rehab
Richmond, VA 23235-4722
Phone
(804) 467-2258
Fax
(804) 378-2248
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101039867 VA Primary

Addresses

Primary practice location

1401 Johnston Willis Drive
5 E in PT Rehab
Richmond, VA 23235-4722

Mailing address

1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428

Other identifiers 2

IdentifierTypeStateIssuer
C08460OtherMEDICARE GROUP NUMBER
006803181MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101109000636 VA Practitioner - Physical Medicine and Rehabilitation 8022038884 Reassigns benefits to 1 organization
I20190403000570 DC Practitioner - Physical Medicine and Rehabilitation 8022038884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Post-Acute Physicians of Virginia PLLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2019 Accepting new patients

Locations

1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1401 Johnston Willis Dr
#5E
North Chesterfield, VA 23235
Phone (804) 467-2258

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1447229000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSTON WILLIS DRIVE",
            "address_2": "5 E IN PT REHAB",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354722",
            "telephone_number": "804-467-2258",
            "fax_number": "804-378-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOKHAR",
        "first_name": "MANMOHAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101039867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C08460",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006803181",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.