Sharad K Khandelwal, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Practice address

3245 Grove Ave
Berwyn, IL 60402-3474

Phone

(708) 795-0100

Fax

(708) 795-0101

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124130240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023474",
            "telephone_number": "708-795-0100",
            "fax_number": "708-795-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023474",
            "telephone_number": "708-795-0100",
            "fax_number": "708-795-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDELWAL",
        "first_name": "SHARAD",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basmah Khalil, M.D.
• Mahamid Ali Khan, DMD
• Muhammad Taimur Khan, BDS, MPH, MS
• Sameer Khan, DPM
• Syed J Khan, MD
• Adam W Kielbasa, PHARMD.
• Jane Kim, RN
• Jisoo Kim
• Stephanie S Kim, D.O.
• Charles A Kinder, M.D.

• Pulmonary Disease Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.