DR. NIDHI KHANNA D.O
NPI 1104189190
Surgery in Riverdale, GA
About Dr. Nidhi Khanna D.o NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NIDHI KHANNA D.O (NPI 1104189190) is an individual surgery provider in Riverdale, Georgia, licensed in Georgia (78777) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2012).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nidhi Khanna D.o 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nidhi Khanna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverdale, GA 30274
- Reassigned Medicare billing, Georgia enrollment
- 111 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar Kennestone Regional Medical Center
Acute Care Hospitals · Marietta, GAEmory Hillandale Hospital
Acute Care Hospitals · Lithonia, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nidhi Khanna's NPI number?
The NPI number for Nidhi Khanna is 1104189190. It was assigned to this individual provider in the NPPES registry on June 24, 2012.
Where is Nidhi Khanna located?
Nidhi Khanna practices at 11 Upper Riverdale Rd SW Ste 10, Riverdale, GA 30274. The listed phone number is (770) 991-8000.
What is Nidhi Khanna's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Nidhi Khanna enrolled in Medicare?
Yes. Nidhi 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.
Which organizations bill Medicare for Nidhi Khanna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nidhi Khanna reassigns Medicare benefits to 2 organizations: Southern Regional Physicians Management Group, LLC (Riverdale, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nidhi Khanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nidhi Khanna accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Nidhi 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 Nidhi Khanna affiliated with any hospitals?
According to CMS data, Nidhi Khanna is affiliated with Wellstar Kennestone Regional Medical Center and Emory Hillandale Hospital.
When was this NPI record last updated?
The NPPES record for Nidhi Khanna was last updated on August 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Nidhi Khanna, D.O · NPI 1104189190
Surgery physician in Riverdale, Georgia. Individual provider, active in the CMS NPPES registry since June 24, 2012.
## Identity
- **NPI:** 1104189190 (Entity type: Individual)
- **Enumerated:** June 24, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 78777 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 UPPER RIVERDALE RD SW STE 10, Riverdale, GA 30274-2615
- **Phone:** (770) 991-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern Regional Physicians Management Group, LLC (NPI 1043677271, Riverdale, GA); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2012
## Record status
- **NPPES last updated:** August 29, 2017
---
Source: [NPI Profile](https://npiprofile.com/npi/1104189190) · Data from the CMS NPPES public registry.