DR. SUNIL K KHANNA MD
NPI 1063404242
Internal Medicine - Cardiovascular Disease in Metuchen, NJ

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
579 MAIN ST, METUCHEN, NJ 08840(732) 906-2332(732) 806-9433 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sunil K Khanna Md NPPES

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

DR. SUNIL K KHANNA MD (NPI 1063404242) is an individual cardiovascular disease provider in Metuchen, New Jersey, licensed in New Jersey (MA06614400) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Albany Medical College Of Union University (1994).

NPPES Registry Identity

NPI1063404242
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SUNIL K KHANNACredential: MD
Location Address579 MAIN STMetuchen, NJ 08840
Mailing Address579 Main StMetuchen, NJ 08840 · (732) 906-2332 · Fax (732) 806-9433
Fax(732) 806-9433
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1994
Enumeration DateAugust 16, 2005
Last NPPES UpdateApril 10, 2012
NPI 1063404242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · MA06614400
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

579 MAIN ST, Metuchen, NJ 08840

Other Identifiers 5

Other3342939Aetna
Medicare ID-Type Unspecified000788NJ
Medicare UPING60680
OtherP711875Oxford Health Plans
Medicare ID-Type Unspecified093417

Accepted 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. Sunil K Khanna Md 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 ID6305758756
PECOS Enrollment IDI20031104000188
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 19

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
751 services322 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.
595 services266 patients
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.
357 services184 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
354 services201 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
262 services256 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
237 services235 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08840 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims14 services$1.19 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 3

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

Internal Medicine (Cardiovascular Disease)
579 MAIN ST
METUCHEN, NJ 08840
Internal Medicine (Cardiovascular Disease)
579 MAIN ST
METUCHEN, NJ 08840
Internal Medicine (Interventional Cardiology)
579 MAIN ST
METUCHEN, NJ 08840

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 Sunil Khanna's NPI number?

The NPI number for Sunil Khanna is 1063404242. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Sunil Khanna located?

Sunil Khanna practices at 579 Main St, Metuchen, NJ 08840. The listed phone number is (732) 906-2332.

What is Sunil Khanna's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sunil Khanna enrolled in Medicare?

Yes. Sunil Khanna 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 Sunil Khanna accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sunil Khanna 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 Sunil Khanna affiliated with any hospitals?

According to CMS data, Sunil Khanna is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Sunil Khanna was last updated on April 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.