Vidula Khadilkar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35068226K Issued in OH

Practice address

3100 E 45TH St
Suite 504
Cleveland, OH 44127-1088

Phone

(216) 429-0077

NPI assigned

May 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1043267677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 QUAIL RUN DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473407",
            "telephone_number": "216-429-0077",
            "fax_number": "216-429-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E 45TH ST",
            "address_2": "SUITE 504",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441271088",
            "telephone_number": "216-429-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADILKAR",
        "first_name": "VIDULA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35068226K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2451921",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636103",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Khabbaza, DO
• Elizabeth Ann Khacherian, FNP-C
• Yasmin Khadair
• Zane Nabil Khademi, MD
• Noora Khadier, DDS
• Ihshan Khafiz
• Anushka Patel Khaira, DO
• Poojajeet Kaur Khaira, MD
• Leena Khaitan, MD
• Aziza Khakimova, APRN-CNP

• Pediatrics Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.