Individual provider Active NPI

Raj K Khanna, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington, WV
National Provider Identifier
1669432373
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3526 Issued in WV
Practice address
1600 Medical Center Dr
Suite 2500
Huntington, WV 25701-3656
Phone
(304) 691-1200
Fax
(304) 691-1287
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3526 WV
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3526 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr
Suite 2500
Huntington, WV 25701-3656

Mailing address

1600 Medical Center Dr Ste 2500
Huntington, WV 25701-3657
Phone (304) 691-1200

Other practice location 1

1249 15th St Ste 3015
Huntington, WV 25701-3662
Phone (304) 691-1247

Other identifiers 3

IdentifierTypeStateIssuer
2330294MedicaidOH
4002154000MedicaidWV
60001526MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051213000021 WV Practitioner - Maxillofacial Surgery 4082635578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1249 15TH St
Suite 3000
Huntington, WV 25701-3663
Phone (304) 691-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Dentist CurrentSince Jul 1, 2002 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jul 1, 2002 Accepting new patients

Locations

1600 Medical Center Dr
Ste 2500
Huntington, WV 25701
Phone (304) 691-1200

1600 Medical Center Dr
#B51
Huntington, WV 25701
Phone (304) 691-8850

1249 15th St
Ste 4093
Huntington, WV 25701
Phone (304) 691-8714

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1616 13th Ave
Ste 200
Huntington, WV 25701
Phone (304) 691-1237

1600 Medical Center Dr
#25
Huntington, WV 25701
Phone (304) 691-1200

1249 15th St
Ste 3015
Huntington, WV 25701
Phone (304) 691-1247

1249 15th St
Ste 3000
Huntington, WV 25701
Phone (304) 691-1095

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1669432373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR STE 2500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013657",
            "telephone_number": "304-691-1200",
            "fax_number": "304-691-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "SUITE 2500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1200",
            "fax_number": "304-691-1287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1249 15th St Ste 3015",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013662",
            "country_code": "US",
            "telephone_number": "304-691-1247",
            "fax_number": "304-691-1248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "RAJ",
        "middle_name": "K",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3526",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "3526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330294",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4002154000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60001526",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.