Active NPI
Ajit K Khanuja, M.D.
- Diagnostic Radiology Physician
- Troy, NY
National Provider Identifier
1487614673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 115191-1
- Practice address
- 1444 Massachusetts Ave
Suite 308
Troy, NY 12180-1600 - Phone
- (518) 272-1212
- Fax
- (518) 272-9228
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 115191-1 | NY | Primary |
Addresses
Primary practice location
1444 Massachusetts Ave
Suite 308
Troy, NY 12180-1600
Mailing address
1444 Massachusetts Ave
Suite 308
Troy, NY 12180-1600
Phone (518) 272-1212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00436324 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115191 | NY | MD | Licensed Practical Nurse |
| 115191-1 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ajit K Khanuja MD | Diagnostic Radiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Troy, NY
- NPI 1518912146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1487614673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 MASSACHUSETTS AVE",
"address_2": "SUITE 308",
"city": "TROY",
"state": "NY",
"postal_code": "121801600",
"telephone_number": "518-272-1212",
"fax_number": "518-272-9228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 MASSACHUSETTS AVE",
"address_2": "SUITE 308",
"city": "TROY",
"state": "NY",
"postal_code": "121801600",
"telephone_number": "518-272-1212",
"fax_number": "518-272-9228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANUJA",
"first_name": "AJIT",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "115191-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00436324",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.