Active NPI
Monica Kharbanda, M.D.
- Pediatrics Physician
- Clearwater, FL
National Provider Identifier
1497764948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME92529
- Practice address
- 2531 Landmark Dr Ste 103
Clearwater, FL 33761-3928 - Phone
- (727) 599-0893
- Fax
- (727) 674-2965
- NPI assigned
- Aug 5, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME92529 | FL | Primary |
Addresses
Primary practice location
2531 Landmark Dr Ste 103
Clearwater, FL 33761-3928
Mailing address
2531 Landmark Dr Ste 103
Clearwater, FL 33761-3928
Phone (727) 599-0893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012016400 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Countryside Pediatric Care, P.a. | Pediatrics | Current | Accepting new patients |
Locations
2531 Landmark Dr
Ste 103
Clearwater, FL 33761
Phone (727) 599-0893
1840 Mease Dr
Ste 405
Safety Harbor, FL 34695
Phone (727) 724-9395
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.
-
- Pediatrics Physician
- Clearwater, FL
- NPI 1518370345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1497764948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2531 LANDMARK DR STE 103",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613928",
"telephone_number": "727-599-0893",
"fax_number": "727-674-2965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 LANDMARK DR STE 103",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337613928",
"telephone_number": "727-599-0893",
"fax_number": "727-674-2965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHARBANDA",
"first_name": "MONICA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME92529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012016400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.