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ANANTA KHELLAWAN
NPI 1013880475
Nurse Practitioner - Psychiatric/Mental Health in Bellerose, NY

Active since September 23, 2025PECOS EnrolledAccepts Medicare Assignment
24806 87TH AVE PH, BELLEROSE, NY 11426(718) 551-4638 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ananta Khellawan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANANTA KHELLAWAN (NPI 1013880475) is an individual psychiatric/mental health provider in Bellerose, New York, licensed in New York (F407319) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2025).

NPPES Registry Identity

NPI1013880475
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANANTA KHELLAWAN
Location Address24806 87TH AVE PHBellerose, NY 11426-2032
Mailing Address24806 87th AveBellerose, NY 11426-2032 · (718) 551-4638
Phone(718) 551-4638
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2025
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1013880475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F407319
24806 87TH AVE PH, Bellerose, NY 11426
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ananta Khellawan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072091198
PECOS Enrollment IDI20260130001365
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ananta Khellawan's NPI number?

The NPI number for Ananta Khellawan is 1013880475. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Ananta Khellawan located?

Ananta Khellawan practices at 24806 87th Ave Ph, Bellerose, NY 11426. The listed phone number is (718) 551-4638.

What is Ananta Khellawan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ananta Khellawan enrolled in Medicare?

Yes. Ananta Khellawan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ananta Khellawan was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.