ZOYA NAVEED KHAWAJA M.D
NPI 1134656986
Internal Medicine in Pottstown, PA

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
78.36/100
CMS Quality Rating
1600 E HIGH ST, POTTSTOWN, PA 19464(610) 327-7000 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 13, 2021, May 11, 2017 (2 updates tracked since 2017).

About Zoya Naveed Khawaja M.d NPPES

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

ZOYA NAVEED KHAWAJA M.D (NPI 1134656986) is an individual internal medicine provider in Pottstown, Pennsylvania, licensed in Pennsylvania (MD471445) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134656986
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameZOYA NAVEED KHAWAJACredential: M.D
Location Address1600 E HIGH STPottstown, PA 19464-5008
Mailing Address1500 Lansdowne AveDarby, PA 19023-1200 · (610) 237-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 11, 2017
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1134656986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD471445
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT213220 (PA)
1600 E HIGH ST, Pottstown, PA 19464

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

Zoya Naveed Khawaja 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 ID2466710660
PECOS Enrollment IDI20200909002510
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
286 services267 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

78.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.13
Promoting Interoperability98
Improvement Activities40
Cost48.42

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers17 claims17 services$15.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers23 claims23 services$76.60 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 20

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

Psychiatry & Neurology (Neurology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Radiology (Diagnostic Radiology)
1600 E HIGH ST, RADIOLOGY DEPARTMENT
POTTSTOWN, PA 19464
Pathology (Anatomic Pathology & Clinical Pathology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Nurse Practitioner (Psychiatric/Mental Health)
1600 E HIGH ST
POTTSTOWN, PA 19464
Internal Medicine
1600 E HIGH ST
POTTSTOWN, PA 19464
Nurse Practitioner (Family)
1600 E HIGH ST
POTTSTOWN, PA 19464
Clinic/Center (Ambulatory Surgical)
1600 E HIGH ST
POTTSTOWN, PA 19464
Obstetrics & Gynecology
1600 E HIGH ST
POTTSTOWN, PA 19464

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 Zoya Khawaja's NPI number?

The NPI number for Zoya Khawaja is 1134656986. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Zoya Khawaja located?

Zoya Khawaja practices at 1600 E High St, Pottstown, PA 19464. The listed phone number is (610) 327-7000.

What is Zoya Khawaja's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Zoya Khawaja enrolled in Medicare?

Yes. Zoya Khawaja 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.

Is Zoya Khawaja affiliated with any hospitals?

According to CMS data, Zoya Khawaja is affiliated with Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Zoya Khawaja was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.