KAVISHA KHANUJA MD
NPI 1164985636
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Kavisha Khanuja's NPI number?

The NPI number for Kavisha Khanuja is 1164985636. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Kavisha Khanuja's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kavisha Khanuja was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 10, 2019PECOS Enrolled

833 CHESTNUT ST FRNT 1, PHILADELPHIA, PA 19107(215) 955-1085(215) 955-5041 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kavisha Khanuja Md NPPES

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

KAVISHA KHANUJA MD (NPI 1164985636) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164985636

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKAVISHA KHANUJACredential: MD

Location Address833 CHESTNUT ST FRNT 1Philadelphia, PA 19107-4420

Mailing Address833 Chestnut St Frnt 1Philadelphia, PA 19107-4420 · (215) 955-1085 · Fax (215) 955-5041

Phone(215) 955-1085

Fax(215) 955-5041

Sole ProprietorYes

Enumeration DateApril 10, 2019

✔ NPI 1164985636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST FRNT 1, Philadelphia, PA 19107

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kavisha Khanuja Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

MARIE SCHROEDER MCCLAY CRNP

Nurse Practitioner (Obstetrics & Gynecology)