Individual provider Active NPI

Hannah Khlopas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Ocala, FL
National Provider Identifier
1548780307
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4513 Issued in FL
Practice address
2760 SE 17TH St Ste 102
Ocala, FL 34471-5550
Phone
(352) 351-1555
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002694 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5951000965 MI
Foot & Ankle Surgery Podiatrist 213ES0103X PO4513 FL Primary

Addresses

Primary practice location

2760 SE 17TH St Ste 102
Ocala, FL 34471-5550

Mailing address

2760 SE 17TH St Ste 102
Ocala, FL 34471-5550

Other practice location 1

2760 SE 17th St Ste 102
Ocala, FL 34471-5550
Phone (352) 351-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230928003294 FL Practitioner - Podiatry 8921423161 Reassigns benefits to 1 organization
I20240827004330 MI Practitioner - Podiatry 8921423161 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4513FLMDFoot & Ankle Surgery Podiatrist
5901002694MIMDFoot & Ankle Surgery Podiatrist
5951000965MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raj K Gupta MD PC CurrentSince Aug 1, 2024 Accepting new patients
Podiatry Institute of Michigan Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Patriot Podiatry PLLC Foot & Ankle Surgery CurrentSince Aug 1, 2023 Accepting new patients

Locations

2760 SE 17th St
Ste 102
Ocala, FL 34471
Phone (352) 351-1555

10501 Telegraph Rd
Ste 104
Taylor, MI 48180
Phone (313) 299-9568

Interoperability endpoints

  • Direct secure messaging: hsungurlu388712@direct.hfhs.org
  • Direct secure messaging: hkhlopas37980@ehrdirect.uhhospitals.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1548780307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SE 17TH ST STE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715550",
            "telephone_number": "352-351-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2760 SE 17th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344715550",
            "country_code": "US",
            "telephone_number": "352-351-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHLOPAS",
        "first_name": "HANNAH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002694",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5951000965",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.