Individual provider Active NPI

Mayur Khosla, MD

  • Internal Medicine Physician
  • Hershey, PA
National Provider Identifier
1225568256
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD491004C Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(717) 531-8024
Fax
(717) 531-0882
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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 13381 SD
Internal Medicine Physician 207R00000X MD491004C PA Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

PO Box 858
MC Ca410
Hershey, PA 17033-0858
Phone (800) 243-1455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, AZ, ND, PA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220803003250 SD Practitioner - Internal Medicine 1052793288 Reassigns benefits to 1 organization
I20241007001977 AZ Practitioner - Internal Medicine 1052793288 Reassigns benefits to 1 organization
I20250808001722 ND Practitioner - HospitalistPractitioner - Internal Medicine 1052793288 Reassigns benefits to 1 organization
I20250909000922 PA Practitioner - Hematology/Oncology 1052793288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000

500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-5638

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13381SDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System CurrentSince Jul 1, 2025 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 25, 2025 Accepting new patients
Altru Health System Internal Medicine Current Accepting new patients
Avera St. Luke'S Internal Medicine Current Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Sep 13, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group CurrentSince Aug 25, 2025 Accepting new patients
Altru Health System CurrentSince Jul 1, 2025 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Sep 13, 2024 Accepting new patients
Avera St. Luke'S CurrentSince Jun 13, 2022 Accepting new patients
Avera St. Lukes CurrentSince Jun 13, 2022 Accepting new patients
The Milton S Hershey Medical Center Past Accepting new patients

Locations

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

105 S State St
Ste 201
Aberdeen, SD 57401
Phone (605) 622-5458

Organizations & group practices 12

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 2

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1225568256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-8024",
            "fax_number": "717-531-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "MAYUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "13381",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD491004C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.