Active NPI
Indrayani Mukund Karkhanis, MD
- Family Medicine Physician
- Ellicott City, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D66733
- Practice address
- 4801 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7766 - Phone
- (410) 997-5191
- Fax
- (410) 997-7957
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D66733 | MD | Primary |
Addresses
Primary practice location
4801 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7766
Mailing address
4801 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7766
Phone (410) 997-5191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Dorsey Hall Dr
Suite 201
Ellicott City, MD 21042-7749
Phone (443) 393-3788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifebridge Medical Associates, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Potomac Physician Associates | Family Medicine | Past | Accepting new patients |
Locations
4801 Dorsey Hall Dr
#G
Ellicott City, MD 21042
Phone (443) 393-3788
4801 Dorsey Hall Dr
Ste 201
Ellicott City, MD 21042
Phone (410) 997-5191
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Ellicott City, MD
- NPI 1124433628
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Chevy Chase, MD
- NPI 1831112143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1164413852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 DORSEY HALL DR",
"address_2": "SUITE 201",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427766",
"telephone_number": "410-997-5191",
"fax_number": "410-997-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 DORSEY HALL DR",
"address_2": "SUITE 201",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210427766",
"telephone_number": "410-997-5191",
"fax_number": "410-997-7957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARKHANIS",
"first_name": "INDRAYANI",
"middle_name": "MUKUND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D66733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.