Active NPI
Parmanand Khandelwal, MD
- Internal Medicine Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301041540
- Practice address
- G4007 W Court St
Ste C
Flint, MI 48532-3560 - Phone
- (810) 720-9000
- Fax
- (810) 720-9002
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- 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 | 4301041540 | MI | Primary |
Addresses
Primary practice location
G4007 W Court St
Ste C
Flint, MI 48532-3560
Mailing address
G4007 W Court St
Ste C
Flint, MI 48532-3560
Phone (810) 720-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3416178 | Medicaid | MI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100205000670 | MI | Practitioner - Internal Medicine | 7618010133 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry Ford Medical Group Genesys
Practice addresses (Care Compare)
G4007 W Court St
Suite C
Flint, MI 48532-3560
Phone (810) 720-9000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301041540 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Medical Group Genesys | Internal Medicine | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Internal Medicine | Current | Accepting new patients |
| Henry Ford Medical Group Genesys | Current | Accepting new patients | |
| Ascension Genesys Hospital | Past | Accepting new patients |
Locations
2184 S Ballenger Hwy
Flint, MI 48503
Phone (810) 232-5627
3495 S Center Rd
Flint, MI 48519
Phone (810) 424-2025
G4007 W Court St
Ste C
Flint, MI 48532
Phone (810) 720-9000
10785 S Saginaw St
Ste D
Grand Blanc, MI 48439
Phone (810) 695-6337
Interoperability endpoints
- pkhandelwal1134614@direct.hfhs.org
- https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
- parmanandkhandelwal@pmi.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Burton, MI
- NPI 1598248718
Internal Medicine, MI
-
- Family Medicine Physician
- Mount Morris, MI
- NPI 1003398470
Internal Medicine
-
- Physical Therapist
- Burton, MI
- NPI 1114495793
-
- Skilled Nursing Facility
- Grand Blanc, MI
- NPI 1093125312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1104928845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G4007 W COURT ST",
"address_2": "STE C",
"city": "FLINT",
"state": "MI",
"postal_code": "485323560",
"telephone_number": "810-720-9000",
"fax_number": "810-720-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G4007 W COURT ST",
"address_2": "STE C",
"city": "FLINT",
"state": "MI",
"postal_code": "485323560",
"telephone_number": "810-720-9000",
"fax_number": "810-720-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANDELWAL",
"first_name": "PARMANAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301041540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3416178",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.