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NICOLE KHETANI
NPI 1447515499
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since July 05, 2012PECOS Enrolled
111 S 11TH ST STE 8280, PHILADELPHIA, PA 19107(215) 955-2370 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Khetani NPPES

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

NICOLE KHETANI (NPI 1447515499) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447515499
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE KHETANI
Location Address111 S 11TH ST STE 8280Philadelphia, PA 19107-4824
Mailing Address834 Chestnut St Apt 1510Philadelphia, PA 19107-5146 · (917) 445-5433
Phone(215) 955-2370
Sole ProprietorNo
Enumeration DateJuly 5, 2012
✔ NPI 1447515499 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.
111 S 11TH ST STE 8280, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Khetani 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

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

DEEPTHI LAKSHMI PENTA MD
Anesthesiology
111 S 11TH ST STE 8280
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6161

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 Nicole Khetani's NPI number?

The NPI number for Nicole Khetani is 1447515499. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Nicole Khetani located?

Nicole Khetani practices at 111 S 11th St Ste 8280, Philadelphia, PA 19107. The listed phone number is (215) 955-2370.

What is Nicole Khetani's specialty?

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

Is Nicole Khetani enrolled in Medicare?

Yes. Nicole Khetani is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Khetani was last updated on July 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.