Individual provider Active NPI

Ayesha Khadka, M.D.

  • Internal Medicine Physician
  • Youngstown, OH
National Provider Identifier
1003507559
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.254913 Issued in OH
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

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260507002181 MI Practitioner - Internal Medicine 8820566888 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
57.254913OHMDInternal 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

Verify at the official NPI Registry.