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DR. RESHAM KHILNANI M.D.
NPI 1013952423
Internal Medicine - Nephrology in Stuart, FL

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
500 SE OSCEOLA ST, STE 200, STUART, FL 34994(772) 286-1550(772) 221-0569 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Resham Khilnani M.d. NPPES

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

DR. RESHAM KHILNANI M.D. (NPI 1013952423) is an individual nephrology provider in Stuart, Florida, licensed in Florida (ME98786) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1013952423
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RESHAM KHILNANICredential: M.D.
Location Address500 SE OSCEOLA ST, STE 200Stuart, FL 34994-2364
Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-5665 · Fax (772) 223-5646
Phone(772) 286-1550
Fax(772) 221-0569
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 19, 2006
Last NPPES UpdateNovember 12, 2013
✔ NPI 1013952423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME98786
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 230399 (NY)
500 SE OSCEOLA ST, Stuart, FL 34994
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Other Identifiers 2

Medicaid278511100FL
Medicare PINAE167FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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

Dr. Resham Khilnani M.d. 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 ID2264439512
PECOS Enrollment IDI20070828000808
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
619 services294 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
139 services92 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services42 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
30 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers55 claims6,690 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers20 claims4,440 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims1,920 services$0.21 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers19 claims2,280 services$1.03 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers45 claims45 services$18.57 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers64 claims87 services$12.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAURAV R SHAH MD
Internal Medicine (Nephrology)
500 SE OSCEOLA ST, STE 200
STUART, FL 34994
Martin County (772) 286-1550
DR. JEFFREY L GLICKMAN M.D.
Internal Medicine (Nephrology)
500 SE OSCEOLA ST, STE 200
STUART, FL 34994
Martin County (772) 286-1550
HARVEY B ULANO M.D.
Specialist
500 SE OSCEOLA ST, SUITE 200
STUART, FL 34994
Martin County (772) 286-1555
DR. JEAN AUKERMAN VICKERS M.D.
Internal Medicine (Nephrology)
500 SE OSCEOLA ST, STE 200
STUART, FL 34994
Martin County (772) 286-1550
DR. ADARSHA SHRESTHA M.D.
Specialist
500 SE OSCEOLA ST, STE 200
STUART, FL 34994
Martin County (772) 286-1550
DIANE HUBERTZ HAUGE ARNP
Nurse Practitioner
500 SE OSCEOLA ST, SUITE 100
STUART, FL 34994
Martin County (772) 286-1550
NEPHROLOGY & INTERNAL MEDICINE ASSOCIATES
Specialist
500 SE OSCEOLA ST
STUART, FL 34994
Martin County (772) 286-1555

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 Resham Khilnani's NPI number?

The NPI number for Resham Khilnani is 1013952423. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Resham Khilnani located?

Resham Khilnani practices at 500 SE Osceola St Ste 200, Stuart, FL 34994. The listed phone number is (772) 286-1550.

What is Resham Khilnani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Resham Khilnani enrolled in Medicare?

Yes. Resham Khilnani 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.

What insurance does Resham Khilnani accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Resham Khilnani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Resham Khilnani affiliated with any hospitals?

According to CMS data, Resham Khilnani is affiliated with Cleveland Clinic Martin North Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Resham Khilnani was last updated on November 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.