SARA KHODOR NPI 1720440068

NPI Information

  • NPI: 1720440068
  • Provider Name: SARA KHODOR
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1223 GATEWAY DR
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 312-3491

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NPI Details

Sara Khodor is an interventional cardiology internal medicine in Melbourne, FL with 9 years of experience. The provider is 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. Sara Khodor NPI is 1720440068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: FLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1223 GATEWAY DR
MELBOURNE, FL
ZIP 32901-607
Phone: (321) 312-3491
Fax: (321) 952-6946

The NPI 1720440068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)

The enumeration date for this NPI number is 3/25/2016 and was last updated on 1/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0011XInternal MedicineInterventional CardiologyME136509FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1QZ098OTHERFLORIDAMEDICARE HF
2118273000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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