DR. PRAVIEN K . KHANNA MD MPH
NPI 1497932149
Internal Medicine - Interventional Cardiology in Somerset, NJ
About Dr. Pravien K . Khanna Md Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRAVIEN K . KHANNA MD MPH (NPI 1497932149) is an individual interventional cardiology provider in Somerset, New Jersey, licensed in New Jersey (25MA09252100) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Columbia University College Of Physicians And Surgeons (2006).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Pravien K . Khanna Md Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Pravien Khanna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 172 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 16
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center Of Princeton At Plainsboro
Acute Care Hospitals · Plainsboro, NJRobert Wood Johnson University Hospital
Acute Care Hospitals · New Brunswick, NJRobert Wood Johnson University Hospital - Somerset
Acute Care Hospitals · Somerville, NJSaint Peter's University Hospital
Acute Care Hospitals · New Brunswick, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08873 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SOMERSET, NJ 08873
SOMERSET, NJ 08873
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 Pravien Khanna's NPI number?
The NPI number for Pravien Khanna is 1497932149. It was assigned to this individual provider in the NPPES registry on January 24, 2008.
Where is Pravien Khanna located?
Pravien Khanna practices at 75 Veronica Ave Suite 101, Somerset, NJ 08873. The listed phone number is (732) 247-7444.
What is Pravien Khanna's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Pravien Khanna enrolled in Medicare?
Yes. Pravien Khanna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Pravien Khanna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pravien Khanna reassigns Medicare benefits to Robert Wood Johnson Physician Enterprise (Somerset, NJ). 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 Pravien Khanna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Pravien Khanna accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Pravien Khanna 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.
Is Pravien Khanna affiliated with any hospitals?
According to CMS data, Pravien Khanna is affiliated with University Medical Center Of Princeton At Plainsboro, Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital - Somerset, Saint Peter's University Hospital and Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for Pravien Khanna was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Pravien K . Khanna, MD MPH · NPI 1497932149
Interventional Cardiology physician in Somerset, New Jersey. Individual provider, active in the CMS NPPES registry since January 24, 2008.
## Identity
- **NPI:** 1497932149 (Entity type: Individual)
- **Enumerated:** January 24, 2008
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** 25MA09252100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 75 VERONICA AVE, SUITE 101, Somerset, NJ 08873-5002
- **Phone:** (732) 247-7444 · **Fax:** (732) 247-5119
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Robert Wood Johnson Physician Enterprise (NPI 1245587922, Somerset, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Columbia University College Of Physicians And Surgeons, class of 2006
## Record status
- **NPPES last updated:** April 22, 2024
- **Other identifiers:** Medicaid 0422088 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1497932149) · Data from the CMS NPPES public registry.