Manwant Khatkar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9106746 Issued in FL

Practice address

5300 W Hillsboro Blvd
Suite 107
Coconut Creek, FL 33073-4395

Phone

(954) 725-4141

Fax

(954) 725-4318

NPI assigned

Jan 16, 2014

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

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psynergy Health Med PLLCGroup PAC ID 0749714707, 35 clinicians

South Florida Vascular AssociatesGroup PAC ID 1850392531, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Psynergy Health Med PLLC

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1891513420
  Medicare reassignment Care Compare group NPD
• South Florida Vascular Associates

  • Vascular & Interventional Radiology Physician
  • Coconut Creek, FL
  • NPI 1568552321
  Medicare reassignment Care Compare group
• ENT and Allergy Associates of Florida, LLC

  • Otolaryngology Physician
  • Boca Raton, FL
  • NPI 1164473120
  NPD (past)

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1689096281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD",
            "address_2": "SUITE 107",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734395",
            "telephone_number": "954-725-4141",
            "fax_number": "954-725-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 W HILLSBORO BLVD",
            "address_2": "SUITE 107",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734395",
            "telephone_number": "954-725-4141",
            "fax_number": "954-725-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATKAR",
        "first_name": "MANWANT",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Benjamin Katz
• Keith L Scwartz DMD PA
• Angela Keller, RN
• Latasha Kendrick, M.E.
• Evelyne Kenol Jules
• Kids Speech2Go LLC
• Nicholas Milan Kijurna, RD, LDN
• Ezra Kim
• Hayley Wilson Kirchoff, LMHC
• Susan Kleinman X, NCC, BC-DMT, CEDS

• Medical Physician Assistant in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.