Individual provider Active NPI

Prakash Khanal, MD

  • Internal Medicine Physician
  • Maywood, IL
National Provider Identifier
1134560170
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036139376 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000
NPI assigned
Jul 6, 2013
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901003516 MI Practitioner - Internal Medicine 1850514449 Reassigns benefits to 3 organizations

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
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

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

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc Internal Medicine CurrentSince Oct 17, 2022 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 1, 2023 Accepting new patients
McLaren Greater Lansing Internal Medicine CurrentSince Mar 15, 2023 Accepting new patients
McLaren Greater Lansing Current Accepting new patients
Edward W Sparrow Hospital Association Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Msu Health Care Inc. CurrentSince Oct 17, 2022 Accepting new patients
Msu Health Care Inc Current Accepting new patients
McLaren Greater Lansing Internal Medicine CurrentSince Mar 15, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.