DR. PRAVIEN K . KHANNA MD MPH
NPI 1497932149
Internal Medicine - Interventional Cardiology in Somerset, NJ

Active since January 24, 2008PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
75 VERONICA AVE, SUITE 101, SOMERSET, NJ 08873(732) 247-7444(732) 247-5119 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2024, Mar 13, 2017, Feb 9, 2017 and 1 more (4 updates tracked since 2016).

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

NPI1497932149
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. PRAVIEN K . KHANNACredential: MD MPH
Location Address75 VERONICA AVE, SUITE 101Somerset, NJ 08873-5002
Mailing Address75 Veronica Ave, Suite 101Somerset, NJ 08873-5002 · (732) 247-7444 · Fax (732) 247-5119
Fax(732) 247-5119
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2006
Enumeration DateJanuary 24, 2008
Last NPPES UpdateApril 22, 20244 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
NPI 1497932149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NJ · 25MA09252100
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09252100 (NJ)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA09252100 (NJ), 264703-1 (NY)
75 VERONICA AVE, Somerset, NJ 08873

Other Identifiers 1

Medicaid0422088NJ

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3375770670
PECOS Enrollment IDI20131212000052
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
558 services310 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
345 services288 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
265 services128 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
92 services65 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
76 services28 patients

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, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician 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.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Neurology)
75 VERONICA AVE, SUITE 202
SOMERSET, NJ 08873
Internal Medicine (Hematology & Oncology)
75 VERONICA AVE, SUITE 201
SOMERSET, NJ 08873
Internal Medicine (Cardiovascular Disease)
75 VERONICA AVE, STE 101
SOMERSET, NJ 08873
Dietitian, Registered
75 VERONICA AVE, SUITE 204
SOMERSET, NJ 08873
Nurse Practitioner (Family)
75 VERONICA AVE, SUITE 201
SOMERSET, NJ 08873
Internal Medicine
75 VERONICA AVE, SUITE 204
SOMERSET, NJ 08873
Psychiatry & Neurology (Psychiatry)
75 VERONICA AVE
SOMERSET, NJ 08873
Dietitian, Registered
75 VERONICA AVE
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.

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, Saint Peter's University Hospital, Jfk Medical Center 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 with the weekly NPPES data releases published by CMS.