Individual provider Active NPI

Mahendra Singh Khera, M.D.

  • Psychiatry Physician
  • Sykesville, MD
National Provider Identifier
1003891672
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D42766 Issued in MD
Practice address
1425 Liberty Road
Suite # 216
Sykesville, MD 21784-6420
Phone
(443) 609-4623
Fax
(443) 609-4627
NPI assigned
Dec 7, 2005
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D42766 MD Primary

Addresses

Primary practice location

1425 Liberty Road
Suite # 216
Sykesville, MD 21784-6420

Mailing address

1425 Liberty Rd
Suite # 216
Sykesville, MD 21784-6420
Phone (443) 609-4623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100406000567 MD Practitioner - PsychiatryPractitioner - Other (Physician) 0446386056 Practice locations: Sykesville, MD

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1425 Liberty Rd
Suite 216
Sykesville, MD 21784-6415
Phone (443) 609-4623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1003891672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 LIBERTY RD",
            "address_2": "SUITE # 216",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846420",
            "telephone_number": "443-609-4623",
            "fax_number": "443-609-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 LIBERTY ROAD",
            "address_2": "SUITE # 216",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217846420",
            "telephone_number": "443-609-4623",
            "fax_number": "443-609-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHERA",
        "first_name": "MAHENDRA",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D42766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sykesville, MD

Sources for this page

Verify at the official NPI Registry.