Active NPI
Ayesha Khadka, M.D.
- Internal Medicine Physician
- Youngstown, OH
National Provider Identifier
1003507559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57.254913
- Practice address
- St. Elizabeth Youngstown Hospital, Internal Medicine
1001 Covington St. Youngstown
Youngstown, OH 44510 - Phone
- (330) 480-2616
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.254913 | OH | Primary |
Addresses
Primary practice location
St. Elizabeth Youngstown Hospital, Internal Medicine
1001 Covington St. Youngstown
Youngstown, OH 44510
Mailing address
St. Elizabeth Youngstown Hospital, Internal Medicine
1001 Covington St. Youngstown
Youngstown, OH 44510
Phone (330) 480-2616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8117 Preston Rd
Suite 800
Dallas, TX 75225-6372
PO Box
Suite 25016
Dallas, TX 75225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.254913 | OH | MD | Internal Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1003507559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ST. ELIZABETH YOUNGSTOWN HOSPITAL, INTERNAL MEDICINE",
"address_2": "1001 COVINGTON ST. YOUNGSTOWN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44510",
"telephone_number": "330-480-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ST. ELIZABETH YOUNGSTOWN HOSPITAL, INTERNAL MEDICINE",
"address_2": "1001 COVINGTON ST. YOUNGSTOWN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44510",
"telephone_number": "330-480-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHADKA",
"first_name": "AYESHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.254913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.