Active NPI
Sumit Mahendra Khandhar, DO
- Interventional Cardiology Physician
- Corona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 20A10557
- Practice address
- 2250 S Main St Ste 201
Corona, CA 92882-2536 - Phone
- (951) 734-4880
- Fax
- (951) 734-7963
- NPI assigned
- Feb 6, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A10557 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | 20A10557 | CA | |
| Interventional Cardiology Physician | 207RI0011X | 20A10557 | CA | Primary |
Addresses
Primary practice location
2250 S Main St Ste 201
Corona, CA 92882-2536
Mailing address
1901 Town and Country Dr Ste 104
Norco, CA 92860-3611
Phone (951) 737-8141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Interventional Cardiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
40663 Murrieta Hot Springs Rd
Suite C1
Murrieta, CA 92562-9015
Phone (951) 200-6791
Hospital & facility affiliations
- Providence St. Jude Medical Center
- Corona Regional Medical Center
- Hoag Memorial Hospital Presbyterian
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
| Varicose vein removal | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10557 | CA | MD | Contractor |
| 20A10557 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Current | Accepting new patients | |
| Circle City Ekg Reading Panel,Inc | Current | Accepting new patients | |
| United Medical Doctors | Current | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients |
Locations
380 W Central Ave
Ste 310
Brea, CA 92821
Phone (657) 286-2670
2250 S Main St
Ste 205
Corona, CA 92882
Phone (951) 734-2900
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
2250 S Main St
Ste 201
Corona, CA 92882
Phone (951) 621-3232
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791
5020 Campus Dr
Ste 200
Newport Beach, CA 92660
Phone (949) 757-1150
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
4244 Riverwalk Pkwy
Ste 290
Riverside, CA 92505
Phone (833) 863-3627
31170 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (951) 698-6090
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
- skhandhar181984@direct.llu.edu
Organizations & group practices 7
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.
-
- Gastroenterology Physician
- Murrieta, CA
- NPI 1770559981
-
- Specialist
- Corona, CA
- NPI 1891938155
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1194554675
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
dba Corona Regional Medical Center
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
-
dba Corona Regional Medical Center
- General Acute Care Hospital
- Corona, CA
- NPI 1457347239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509926400000",
"number": "1174701668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 TOWN AND COUNTRY DR STE 104",
"city": "NORCO",
"state": "CA",
"postal_code": "928603611",
"telephone_number": "951-737-8141",
"fax_number": "951-738-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 S MAIN ST STE 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928822536",
"telephone_number": "951-734-4880",
"fax_number": "951-734-7963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANDHAR",
"first_name": "SUMIT",
"middle_name": "MAHENDRA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2017-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A10557",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "20A10557",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "20A10557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.