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KHA CONG VAN
NPI 1538006309
Student in an Organized Health Care Education/Training Program in Gainesville, FL

Active since April 30, 2026PECOS Enrolled
8107 SW 72ND PL, GAINESVILLE, FL 32608(352) 278-8455 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kha Cong Van NPPES

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

KHA CONG VAN (NPI 1538006309) is an individual student in an organized health care education/training program in Gainesville, Florida and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538006309
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKHA CONG VAN
Location Address8107 SW 72ND PLGainesville, FL 32608-8424
Mailing Address8107 Sw 72nd PlGainesville, FL 32608-8424 · (352) 278-8455
Phone(352) 278-8455
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 18, 2026
✔ NPI 1538006309 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.
8107 SW 72ND PL, Gainesville, FL 32608
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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)

Kha Cong Van 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.

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 Kha Van's NPI number?

The NPI number for Kha Van is 1538006309. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Kha Van located?

Kha Van practices at 8107 SW 72nd Pl, Gainesville, FL 32608. The listed phone number is (352) 278-8455.

What is Kha Van's specialty?

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

Is Kha Van enrolled in Medicare?

Yes. Kha Van is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kha Van was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.