Colleen Khatiwala, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA08406300 Issued in NJ

Practice address

3205 Fire Rd
Egg Harbor Township, NJ 08234-5884

Phone

(609) 407-1113

NPI assigned

Oct 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Merit-based Incentive Payment System (MIPS)

Final score

79.93 of 100Reported as group

Quality

75.13

Promoting interoperability

100

Improvement activities

40

Cost

57.97

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Ambulatory Anesthesia, LLC

  • Specialist
  • Wayne, NJ
  • NPI 1063415990

  Anesthesiology

  Medicare reassignment NPD
• Atlanticare Regional Medical Center

  dba ARMC Anesthesiologists

  • Anesthesiology Physician
  • Pomona, NJ
  • NPI 1710930102
  Medicare reassignment NPD
• Shrewsbury Ambulatory Anesthesia LLC

  • Anesthesiology Physician
  • Shrewsbury, NJ
  • NPI 1356691885
  Medicare reassignment NPD
• Atlanticare Regional Medical Center

  dba Atlanticare Commuity Pharmacy - Atlantic City

  • Community/Retail Pharmacy
  • Atlantic City, NJ
  • NPI 1235677378
  NPD
• Preferred Anesthesia Associates, PC

  • Anesthesiology Physician
  • Egg Harbor Township, NJ
  • NPI 1245233048
  NPD (past)

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1679724553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48076",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071014876",
            "telephone_number": "201-804-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 FIRE RD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345884",
            "telephone_number": "609-407-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIWALA",
        "first_name": "COLLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08406300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA08406300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Frances Kerr, LPC, LCADC, NCC
• Barry Mark Kessler, MD
• Kaniz Fatima Khan-Jaffery, MD
• Abeera A Khan, M.D
• Amal Khan
• Tania Khullar, DPT
• Audrey Charlotte Kingman, CNM
• Vincent Robert Kirkland
• Molly Kissinger
• Madison Kitchen, ATC

• Anesthesiology Physician in Egg Harbor Township, NJ
• Providers in Egg Harbor Township, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.

Verify at the official NPI Registry.