DMITRI KHVOLIS MD
NPI 1215515960
Pediatrics in Danville, PA

Q: What is Dmitri Khvolis's NPI number?

The NPI number for Dmitri Khvolis is 1215515960. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Dmitri Khvolis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Dmitri Khvolis was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 01, 2021PECOS Enrolled

100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6144 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Apr 2, 2021 (2 updates tracked since 2021).

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About Dmitri Khvolis Md NPPES

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

DMITRI KHVOLIS MD (NPI 1215515960) is an individual pediatrics provider in Danville, Pennsylvania, licensed in Pennsylvania (MD486041) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1215515960

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDMITRI KHVOLISCredential: MD

Location Address100 N ACADEMY AVEDanville, PA 17822-3609

Mailing Address506 6th StBrooklyn, NY 11215-3609 · (780) 718-3000

Phone(570) 271-6144

Sole ProprietorNo

Enumeration DateApril 1, 2021

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1215515960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD486041

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

100 N ACADEMY AVE, Danville, PA 17822

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Secondary Practice Location 1

Location 1506 6th StBrooklyn, NY 11215-3609 · Phone (780) 718-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dmitri Khvolis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

DR. TARA JEAN LOUX MD

Surgery (Pediatric Surgery)