Individual provider Active NPI

Raj Khambhati, MD

  • Internal Medicine Physician
  • Palm Springs, FL
National Provider Identifier
1891833802
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 48202 Issued in FL
Practice address
2135 S Congress Ave
Suite # 3a
Palm Springs, FL 33406-7611
Phone
(561) 642-0307
Fax
(561) 642-7128
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2015

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 ME 48202 FL Primary

Addresses

Primary practice location

2135 S Congress Ave
Suite # 3a
Palm Springs, FL 33406-7611

Mailing address

2135 S Congress Ave
Suite # 3a
Palm Springs, FL 33406-7611
Phone (561) 642-0307

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
I20090211000361 FL Practitioner - Internal Medicine 2062577877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

2135 S Congress Ave
Suite 3a
Palm Springs, FL 33406-7611
Phone (561) 642-0307

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 48202FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raj Khambhati MD PA Internal Medicine CurrentSince Dec 1, 2007 Accepting new patients

Locations

2135 S Congress Ave
Ste 3A
Palm Springs, FL 33406
Phone (407) 642-0307

Interoperability endpoints

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1891833802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE",
            "address_2": "SUITE # 3A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-642-0307",
            "fax_number": "561-642-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 S CONGRESS AVE",
            "address_2": "SUITE # 3A",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334067611",
            "telephone_number": "561-642-0307",
            "fax_number": "561-642-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMBHATI",
        "first_name": "RAJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 48202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

Verify at the official NPI Registry.