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SAMITA KHARA CPNP-PC
NPI 1487224382
Nurse Practitioner - Pediatrics in Mesa, AZ

Active since July 01, 2021PECOS Enrolled
1432 S DOBSON RD STE 506, MESA, AZ 85202(480) 412-6430 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samita Khara Cpnp-pc NPPES

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

SAMITA KHARA CPNP-PC (NPI 1487224382) is an individual pediatrics provider in Mesa, Arizona, licensed in Arizona (260099) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487224382
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMITA KHARACredential: CPNP-PC
Location Address1432 S DOBSON RD STE 506Mesa, AZ 85202-4778
Mailing Address1432 S Dobson Rd Ste 506Mesa, AZ 85202-4778
Phone(480) 412-6430
Sole ProprietorNo
Enumeration DateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1487224382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · 260099
1432 S DOBSON RD STE 506, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samita Khara Cpnp-pc 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.

Medicare Billing Reassignment

Medicare enrollment records show Samita Khara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Physician Super Specialists Arizona LLC
0.1 mi
Nutrition, Education
1450 S DOBSON RD STE B221
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 188 clinicians in this Medicare group
NPI 1790337665 (480) 827-5370

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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

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

DR. LENO MAMMEN THOMAS MD
Pediatrics (Pediatric Pulmonology)
1432 S DOBSON RD STE 506
MESA, AZ 85202
Maricopa County (480) 412-6430

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 Samita Khara's NPI number?

The NPI number for Samita Khara is 1487224382. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Samita Khara located?

Samita Khara practices at 1432 S Dobson Rd Ste 506, Mesa, AZ 85202. The listed phone number is (480) 412-6430.

What is Samita Khara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Samita Khara enrolled in Medicare?

Yes. Samita Khara is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samita Khara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samita Khara reassigns Medicare benefits to Banner Physician Super Specialists Arizona LLC (Mesa, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samita Khara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samita Khara accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Samita Khara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samita Khara was last updated on July 1, 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.