Individual provider Active NPI

Ashok K Khanna, M.D.

  • Internal Medicine Physician
  • Winter Garden, FL
National Provider Identifier
1699889220
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME48001 Issued in FL
Practice address
15493 Stoneybrook West Pkwy Ste 110
Winter Garden, FL 34787-4769
Phone
(407) 299-7791
Fax
(407) 299-7791
NPI assigned
Aug 19, 2006
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME48001 FL Primary

Addresses

Primary practice location

15493 Stoneybrook West Pkwy Ste 110
Winter Garden, FL 34787-4769

Mailing address

15493 Stoneybrook West Pkwy Ste 110
Winter Garden, FL 34787-4769
Phone (407) 299-7791

Other identifiers 1

IdentifierTypeStateIssuer
042998800MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112001010 FL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - General Practice 7719172980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice, General Practice, Geriatric Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15493 Stoneybrook W Pkwy
Suite 110
Winter Garden, FL 34787-4769
Phone (407) 299-7791

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Primary Care Center, PA CurrentSince Oct 19, 2010 Accepting new patients
Florida Neurology & Epilepsy Specialists PL Past Accepting new patients

Locations

2918 N Pine Hills Rd
Orlando, FL 32808
Phone (407) 299-7791

15493 Stoneybrook West Pkwy
Ste 110
Winter Garden, FL 34787
Phone (407) 299-7791

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFBHDD/Endpoint/AFBHDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1699889220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15493 STONEYBROOK WEST PKWY STE 110",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874769",
            "telephone_number": "407-299-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15493 STONEYBROOK WEST PKWY STE 110",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874769",
            "telephone_number": "407-299-7791",
            "fax_number": "407-299-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "ASHOK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME48001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042998800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.