Individual provider Active NPI

Mark Khilnani, MD

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1992790950
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME96976 Issued in FL
Practice address
1611 NW 12TH Ave
Miami, FL 33136-1005
Phone
(305) 585-1111
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME96976 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Miami, FL 33136-1005

Mailing address

1100 SW Tamarind Way
Boca Raton, FL 33486-5555
Phone (646) 271-4249

Other practice location 1

2828 Croasdaile Dr
Durham, NC 27705-2505
Phone (866) 272-3030

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
I20070307000636 FL Practitioner - Emergency Medicine 3779474036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

1475 W 49TH PL
Hialeah, FL 33012-3113
Phone (305) 204-9318

4890 N State Rd
Suite 7
Coral Springs, FL 33073-3303
Phone (954) 480-9111

Hospital & facility affiliations

  • West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96976FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Larkin Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Mar 1, 2021 Accepting new patients
Mark M S Khilnani MD PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Aug 15, 2025 Accepting new patients
Mark Khilnani MD Emergency Medicine PA Emergency Medicine CurrentSince Aug 17, 2025 Accepting new patients
Trail Crossing Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Acs Emergency Physicians of SC PC Emergency Medicine Past Accepting new patients
Essex Emergency Physicians, PC Emergency Medicine Past Accepting new patients
FL-I Medical Services, LLC Past Accepting new patients
Augusta Physicians Group, LLC Emergency Medicine PastSince Jan 26, 2020 Accepting new patients
Worth Lake Emergency Physicians Emergency Medicine Past Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients
Darling Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Csra Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

4890 N State Road 7
Coconut Creek, FL 33073
Phone (954) 379-3528

1475 W 49th Pl
Hialeah, FL 33012
Phone (305) 204-9318

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1992790950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SW TAMARIND WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865555",
            "telephone_number": "646-271-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Croasdaile Dr",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277052505",
            "country_code": "US",
            "telephone_number": "866-272-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHILNANI",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME96976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.