NPIMap

Individual provider Active NPI

Jaspreet Kaur Khangura, M.D.

  • Internal Medicine Physician
  • Camas, WA
National Provider Identifier
1194983593
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60331001 Issued in WA
Practice address
4500 SE Columbia Palisades Dr
Camas, WA 98607-8444
Phone
(360) 882-2778
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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 MD150146 OR
Internal Medicine Physician 207R00000X MD60331001 WA Primary

Addresses

Primary practice location

4500 SE Columbia Palisades Dr
Camas, WA 98607-8444

Mailing address

417 SE 164TH Ave Ste 300
Vancouver, WA 98684-8944
Phone (360) 898-8944

Other practice location 1

417 SE 164th Ave Ste 300
Vancouver, WA 98684-8944
Phone (360) 898-8944

Other identifiers 1

IdentifierTypeStateIssuer
2025001MedicaidWA

Other names 1

  • Jaspreet Kaur Dhoot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101021000604 OR Practitioner - Internal Medicine 1951594050 Reassigns benefits to 1 organization
I20180507001111 WA Practitioner - Internal Medicine 1951594050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

4500 SE Columbia Palisades Dr
Camas, WA 98607-8444
Phone (360) 882-2778

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Vancouver, WA, CCN 507081
  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050
  • Legacy Salmon Creek Medical Center Hospital, Vancouver, WA, CCN 500150
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD150146ORMDInternal Medicine Physician
MD60331001WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS Internal Medicine CurrentSince Nov 9, 2020 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Nov 9, 2020 Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

4500 SE Columbia Palisades Dr
Camas, WA 98607

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: jkhangura16943@tvc-direct.org

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1194983593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SE 164TH AVE STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848944",
            "telephone_number": "360-898-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SE COLUMBIA PALISADES DR",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078444",
            "telephone_number": "360-882-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 SE 164th Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986848944",
            "country_code": "US",
            "telephone_number": "360-898-8944",
            "fax_number": "360-254-2894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANGURA",
        "first_name": "JASPREET",
        "middle_name": "KAUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD150146",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60331001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASPREET",
            "last_name": "DHOOT",
            "middle_name": "KAUR",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.