Active NPI
Prakash Khanal, MD
- Internal Medicine Physician
- Maywood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036139376
- Practice address
- 2160 S 1St Ave
Maywood, IL 60153-3328 - Phone
- (708) 216-9000
- NPI assigned
- Jul 6, 2013
- Last updated
- Jul 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301507589 | MI | |
| Internal Medicine Physician | 207R00000X | 036139376 | IL | Primary |
Addresses
Primary practice location
2160 S 1St Ave
Maywood, IL 60153-3328
Mailing address
804 Service Rd Ste A202
East Lansing, MI 48824-7015
Phone (517) 353-4941
Other practice location 1
4650 S Hagadorn Rd Ste 100
East Lansing, MI 48823-5386
Phone (517) 353-4941
Other practice location 2
1200 E Michigan Ave Ste 510
Lansing, MI 48912-1800
Phone (517) 364-5184
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3101 Discovery Dr
Suite 400
Lansing, MI 48910-8546
Phone (517) 975-3750
3220 Discovery Dr
Suite 200
Lansing, MI 48910-8556
Phone (517) 975-8910
4650 S Hagadorn Rd
Suite 100
East Lansing, MI 48823-5386
Phone (517) 353-4941
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc | Internal Medicine | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| McLaren Greater Lansing | Internal Medicine | Current | Accepting new patients |
| McLaren Greater Lansing | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Internal Medicine | Current | Accepting new patients |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| McLaren Greater Lansing | Internal Medicine | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Past | Accepting new patients | |
| Msu Health Care Inc. | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
4650 S Hagadorn Rd
Ste 100
East Lansing, MI 48823
Phone (517) 353-4830
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976
1200 E Michigan Ave
Ste 510
Lansing, MI 48912
Phone (517) 364-5184
3101 Discovery Dr
Ste 400
Lansing, MI 48910
Phone (517) 975-3750
3220 Discovery Dr
Ste 200
Lansing, MI 48910
Phone (517) 975-8910
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
Interoperability endpoints
- prakash.khanal.1@25394.direct.athenahealth.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gynecologic Oncology Physician
- Lansing, MI
- NPI 1265600902
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
dba Sparrow Internal Medicine Residency Clinic
- Internal Medicine Physician
- Lansing, MI
- NPI 1487154290
-
dba University of Michigan Health-Sparrow
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Internal Medicine Physician
- Lansing, MI
- NPI 1265579734
-
- Internal Medicine Physician
- East Lansing, MI
- NPI 1194357152
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1275165052
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1134560170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A202",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-4941",
"fax_number": "517-432-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 S 1ST AVE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "708-216-9000"
}
],
"practiceLocations": [
{
"address_1": "4650 S Hagadorn Rd Ste 100",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488235386",
"country_code": "US",
"telephone_number": "517-353-4941",
"fax_number": "517-432-3145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 E Michigan Ave Ste 510",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489121800",
"country_code": "US",
"telephone_number": "517-364-5184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANAL",
"first_name": "PRAKASH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-06",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301507589",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036139376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
- 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.