NPIMap

Individual provider Active NPI

Nazely Khandkar, MD

  • Family Medicine Physician
  • Harleysville, PA
National Provider Identifier
1093330060
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD482031 Issued in PA
Practice address
658 Harleysville Pike
Harleysville, PA 19438-2886
Phone
(215) 256-9655
NPI assigned
Jun 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD482031 PA Primary

Addresses

Primary practice location

658 Harleysville Pike
Harleysville, PA 19438-2886

Mailing address

658 Harleysville Pike
Harleysville, PA 19438-2886
Phone (215) 256-9655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230921002971 PA Practitioner - Family Practice 8325492549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Grand View HospitalGroup PAC ID 8022001924, 94 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

658 Harleysville Pike
Suite 120
Harleysville, PA 19438-2886
Phone (215) 256-9655

Hospital & facility affiliations

  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT221326PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Grand View Hospital CurrentSince Jul 27, 2023 Accepting new patients
Grand View Hospital Family Medicine CurrentSince Jul 27, 2023 Accepting new patients
Grand View Hospital Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

658 Harleysville Pike
Harleysville, PA 19438
Phone (215) 256-9655

658 Harleysville Pike
Ste 120
Harleysville, PA 19438
Phone (215) 256-9655

700 Lawn Ave
Bldg 2ND
Sellersville, PA 18960
Phone (215) 453-4000

Interoperability endpoints

  • Direct secure messaging: nkhandkar350582@direct-sluhn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1093330060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 HARLEYSVILLE PIKE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382886",
            "telephone_number": "215-256-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 HARLEYSVILLE PIKE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382886",
            "telephone_number": "215-256-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDKAR",
        "first_name": "NAZELY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD482031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.