NPIMap

Individual provider Active NPI

Mukul Krishan Khanna, M.D.

  • Cardiovascular Disease Physician
  • Altamonte Springs, FL
National Provider Identifier
1710270608
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME120684 Issued in FL
Practice address
251 Maitland Ave Ste 116
Altamonte Springs, FL 32701-4913
Phone
(407) 915-5643
Fax
(407) 960-2602
NPI assigned
May 25, 2011
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME120684 FL
Cardiovascular Disease Physician 207RC0000X ME120684 FL Primary

Addresses

Primary practice location

251 Maitland Ave Ste 116
Altamonte Springs, FL 32701-4913

Mailing address

PO Box 940145
Maitland, FL 32794-0145
Phone (407) 915-5643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027001416 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476774969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Cardiac and Vascular Specialists LLCGroup PAC ID 3274850375, 13 clinicians

Practice addresses (Care Compare)

251 Maitland Ave
Suite 116
Altamonte Springs, FL 32701-4913
Phone (407) 915-5643

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.17 of 100Reported as group
Quality
98.08
Promoting interoperability
100
Improvement activities
40
Cost
75.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120684FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Cardiac and Vascular Specialists LLC Cardiovascular Disease CurrentSince Jul 1, 2021 Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince May 9, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince May 9, 2022 Accepting new patients
Adventhealth Orlando Cardiac & Vascular Specialists LLC Cardiovascular Disease CurrentSince Aug 10, 2025 Accepting new patients

Locations

251 Maitland Ave
Ste 116
Altamonte Springs, FL 32701
Phone (407) 647-2009

450 W Central Pkwy
Ste 2000
Altamonte Springs, FL 32714
Phone (407) 767-8554

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1613 N Mills Ave
Orlando, FL 32803
Phone 40789444741145

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

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

Organizations & group practices 4

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1710270608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 940145",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327940145",
            "telephone_number": "407-915-5643",
            "fax_number": "407-960-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MAITLAND AVE STE 116",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014913",
            "telephone_number": "407-915-5643",
            "fax_number": "407-960-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "MUKUL",
        "middle_name": "KRISHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME120684",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME120684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.