Pavan Khanna, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A116085 Issued in CA

Practice address

1800 N California St
Stockton, CA 95204-6019

Phone

(209) 467-6363

NPI assigned

Mar 23, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NJ2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

R Franklin University of Med & Sci/Chicago Medical School, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aria Vascular a Professional Medical CorporationGroup PAC ID 6204350093, 10 clinicians

Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Medical Center of Stockton Hospital, Stockton, CA, CCN 050084
• Mercy Medical Center Hospital, Merced, CA, CCN 050444
• Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118
• Washington Hospital Hospital, Fremont, CA, CCN 050195
• Dameron Hospital Hospital, Stockton, CA, CCN 050122

Merit-based Incentive Payment System (MIPS)

Final score

71.96 of 100Reported as individual

Quality

55.24

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

99.97 of 100Reported as group

Quality

91.92

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: pkhanna155772@direct.whhs.com

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 Radiology and Interventional Associates Inc

  • Diagnostic Radiology Physician
  • Stockton, CA
  • NPI 1669123626

  NJ

  Medicare reassignment Care Compare group NPD
• Aria Vascular a Professional Medical Corporation

  • Clinic/Center
  • Stockton, CA
  • NPI 1164260741

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Delta Radiology, Inc.

  • Specialist
  • Lodi, CA
  • NPI 1740305846
  Medicare reassignment NPD
• Eoh Acquisition Group, LLC

  • General Practice Physician
  • East Orange, NJ
  • NPI 1578922258
  Medicare reassignment NPD
• Adventist Health Delano

  • Registered Dietitian
  • Delano, CA
  • NPI 1578798047
  Medicare reassignment
• Adventist Health Medical Center Tehachapi

  • Critical Access Hospital
  • Tehachapi, CA
  • NPI 1275538530
  Medicare reassignment
• Adventist Health Tulare

  • General Acute Care Hospital
  • Tulare, CA
  • NPI 1801366711
  Medicare reassignment
• Hanford Community Hospital

  • General Acute Care Hospital
  • Hanford, CA
  • NPI 1538141627
  Medicare reassignment
• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment
• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Medicare reassignment
• Authority Vascular Surgery Incorporated

  • Vascular Surgery Physician
  • Stockton, CA
  • NPI 1730983131
  NPD
• Delta Radiology, Inc.

  • Specialist
  • Lodi, CA
  • NPI 1881728327
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dameron Hospital Association

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1538163886
  Care Compare affiliation
• Dameron Hospital Association

  • Primary Care Clinic/Center
  • Stockton, CA
  • NPI 1699195115

  Hospital

  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191
  Care Compare affiliation
• Doctors Hospital of Manteca, Inc.

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599
  Care Compare affiliation
• Port City Operating Company, LLC

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  Care Compare affiliation
• Washington Township Hospital District

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1891936795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019",
            "telephone_number": "209-467-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "PAVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A116085",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A116085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahir Khan
• Tahmaz Khan
• Waleed Khan, MD
• Zarjan Khan
• Saba S Khandani, DDS
• Shiva NA Khanna
• Linda Kheandeng
• Phanno Khem
• Priya Kher
• Jennifer Khin, PA-C

• Diagnostic Radiology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.