CONCIERGE SPINE AND SPORTS MEDICINE, PC
NPI 1831836162
Clinic/Center in Philadelphia, PA

Q: What is Concierge Spine And Sports Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 18, 2022

1200 CONSTITUTION AVE, PHILADELPHIA, PA 19112(267) 551-4200(856) 861-0928 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 17, 2023, Feb 23, 2023, May 18, 2022 (3 updates tracked since 2022).

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About Concierge Spine And Sports Medicine, Pc NPPES

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

CONCIERGE SPINE AND SPORTS MEDICINE, PC (NPI 1831836162) is a healthcare organization registered as a clinic/center in Philadelphia, Pennsylvania and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Moorestown and lists Malini M Khanna, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1831836162

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCONCIERGE SPINE AND SPORTS MEDICINE, PC

Location Address1200 CONSTITUTION AVEPhiladelphia, PA 19112-1329

Mailing Address22 Madeira CtMoorestown, NJ 08057-3144 · (202) 262-5629 · Fax (856) 861-0928

Phone(267) 551-4200

Fax(856) 861-0928

Organization SubpartNo

Authorized OfficialMalini M KhannaPhysician Owner · (267) 551-4200

Enumeration DateMay 18, 2022

Last NPPES UpdateMay 17, 20233 updates tracked since enumeration

NPPES CertifiedMay 17, 2023

✔ NPI 1831836162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1200 CONSTITUTION AVE, Philadelphia, PA 19112

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Secondary Practice Location 1

Location 1200 Marter Ave Ste 700Moorestown, NJ 08057-3147 · Phone (267) 551-4200

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Concierge Spine And Sports Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Concierge Spine And Sports Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Malini Khanna, M.D.

Physical Medicine and Rehabilitation

NPI 1306087200

570 EGG HARBOR RD SUITE C4
Sewell, NJ 08080

(856) 256-0051

✔ PECOS✔ Accepts Medicare12 mi

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

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 Concierge Spine And Sports Medicine, PC's NPI number?

The NPI number for Concierge Spine And Sports Medicine, PC is 1831836162. It was assigned to this organization in the NPPES registry on May 18, 2022.

Where is Concierge Spine And Sports Medicine, PC located?

Concierge Spine And Sports Medicine, PC is located at 1200 Constitution Ave, Philadelphia, PA 19112. The listed phone number is (267) 551-4200.

What is Concierge Spine And Sports Medicine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Concierge Spine And Sports Medicine, PC enrolled in Medicare?

Yes. Concierge Spine And Sports Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Concierge Spine And Sports Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Concierge Spine And Sports Medicine, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Concierge Spine And Sports Medicine, PC was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.