DR. PETER ALOYSIUS KHAMVONGSA (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1356385918

DR. PETER ALOYSIUS KHAMVONGSA (M.D.) is a healthcare provider. based in Miami, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. ME88695 (FL). The NPI Number for DR. PETER ALOYSIUS KHAMVONGSA (M.D.) is 1356385918

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER ALOYSIUS KHAMVONGSA (M.D.)
NPI
1356385918
Phone
(305) 662-5058
Address
10060 SW 57TH CT
Enumeration Date
15 June 2006
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3052734641
Graduation Year
1991 (35 years ago)
PAC ID
1557427481
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20090302000396
Address ID
FL331334741MI3225XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

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Provider Addresses for DR. PETER ALOYSIUS KHAMVONGSA (M.D.)

  • 10060, Southwest 57th Court, Pinecrest, Miami-Dade County, Florida, 33156, United States

    THE ARBORETUM ESTATES

    MIAMI, FL 331562000

    Phone: (305) 662-5058

    Type: Mailing

  • 10445 SW 124TH ST

    MIAMI, FL 331764721

    Phone: (305) 801-9275

    Type: Mailing

  • 8950, Southwest 88th Street, Kendall, Miami-Dade County, Florida, 33176, United States

    MEDICAL ARTS WEST SUITE 501

    MIAMI, FL 331762144

    Phone: (305) 282-4241

    Fax: (305) 283-1882

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $41,935.

Total Amount is formed as General ($41,935) + Research ($0) + Ownership ($0) = $41,935.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Astellas Pharma US Inc ($28,047).

Total Amount

$41,935

General + Research + Ownership

Payments

84

Total payment records

General Amount

$41,935

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090302000396IObstetrics/GynecologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81002Urinalysis, manual test4333$0
99214Established patient office or other outpatient visit, 30-39 minutes4030$0
99213Established patient office or other outpatient visit, 20-29 minutes3826$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina1615$0
View full utilization report →

Insurance plans in this area (ZIP 33156)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

Does DR. PETER ALOYSIUS KHAMVONGSA (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. PETER ALOYSIUS KHAMVONGSA (M.D.) uses 1356385918.
Is DR. PETER ALOYSIUS KHAMVONGSA (M.D.) listed as active for patients and plans?
The listing shows DR. PETER ALOYSIUS KHAMVONGSA (M.D.) as active in the NPI system.
What is DR. PETER ALOYSIUS KHAMVONGSA (M.D.)'s specialty?
The listing groups DR. PETER ALOYSIUS KHAMVONGSA (M.D.) with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PETER ALOYSIUS KHAMVONGSA (M.D.) on a map?
Expect Miami, Florida as a primary anchor for DR. PETER ALOYSIUS KHAMVONGSA (M.D.) unless the record lists multiple sites.
Why does DR. PETER ALOYSIUS KHAMVONGSA (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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