Active NPI
Kanwal Khanna, M.D.
- Rheumatology Physician
- Modesto, CA
National Provider Identifier
1487767182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G58069
- Practice address
- 1429 College Ave
Suite M
Modesto, CA 95350-4057 - Phone
- (209) 524-2041
- Fax
- (209) 524-2394
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G58069 | CA | Primary |
Addresses
Primary practice location
1429 College Ave
Suite M
Modesto, CA 95350-4057
Mailing address
1429 College Ave
Suite M
Modesto, CA 95350-4057
Phone (209) 524-2041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Rheumatology
- Education
- University of California, San Francisco School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1429 College Ave
Suite M
Modesto, CA 95350-4046
Phone (209) 524-2041
Hospital & facility affiliations
- Memorial Medical Center
- Adventist Health Sonora
- Oak Valley Hospital District
- Emanuel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 80.66
- Improvement activities
- 40
- Cost
- 77.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanwal Khanna, M.D., Inc. | Rheumatology | Current | Accepting new patients |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Doctors Medical Center of Modesto, Inc. | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
1429 College Ave
Ste M
Modesto, CA 95350
Phone (209) 524-1666
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Rheumatology Physician
- Modesto, CA
- NPI 1588819312
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
-
- Occupational Therapist
- Belleville, IL
- NPI 1578604443
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
-
- General Acute Care Hospital
- Oakdale, CA
- NPI 1346381415
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487767182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 COLLEGE AVE",
"address_2": "SUITE M",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504057",
"telephone_number": "209-524-2041",
"fax_number": "209-524-2394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 COLLEGE AVE",
"address_2": "SUITE M",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504057",
"telephone_number": "209-524-2041",
"fax_number": "209-524-2394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANNA",
"first_name": "KANWAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G58069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.