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KHAULA KHATLANI M.D.
NPI 1184930455
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Bristol, CT

Active since August 25, 2010PECOS Enrolled
975 FARMINGTON AVE STE 1, BRISTOL, CT 06010(860) 589-0114(860) 589-1936 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2020, Sep 11, 2018 (2 updates tracked since 2018).

About Khaula Khatlani M.d. NPPES

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

KHAULA KHATLANI M.D. (NPI 1184930455) is an individual preventive medicine/occupational environmental medicine provider in Bristol, Connecticut, licensed in Connecticut (66471) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184930455
Entity TypeIndividualFemale
Primary Taxonomy2083P0500X
Provider Legal NameKHAULA KHATLANICredential: M.D.
Location Address975 FARMINGTON AVE STE 1Bristol, CT 06010-3964
Mailing Address975 Farmington Ave Ste 1Bristol, CT 06010-3964 · (860) 589-0114 · Fax (860) 589-1936
Phone(860) 589-0114
Fax(860) 589-1936
Sole ProprietorYes
Enumeration DateAugust 25, 2010
Last NPPES UpdateSeptember 21, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
✔ NPI 1184930455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in CT · 66471
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedSurgeryTaxonomy 208600000X · License 4301096855 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 57453 (CT)
975 FARMINGTON AVE STE 1, Bristol, CT 06010
Open in Google Maps ↗

Secondary Practice Locations 2

Location 116001 W 9 Mile Rd, Department of Surgery,2nd floorSouthfield, MI 48075-4818 · Phone (248) 849-3073 · Fax (248) 849-5380
Location 220 York Street, YNHH Preventive MedicineNew Haven, CT 06510 · Phone (203) 688-4242

Other Identifiers 1

Other66471CT · State License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khaula Khatlani M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Khaula Khatlani's NPI number?

The NPI number for Khaula Khatlani is 1184930455. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Khaula Khatlani located?

Khaula Khatlani practices at 975 Farmington Ave Ste 1, Bristol, CT 06010. The listed phone number is (860) 589-0114.

What is Khaula Khatlani's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Khaula Khatlani enrolled in Medicare?

Yes. Khaula Khatlani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khaula Khatlani was last updated on September 21, 2020. 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.