Individual provider Active NPI

Vaishali Khetarpal, MD

  • Pediatrics Physician
  • Phoenix, AZ
National Provider Identifier
1245585280
Registry record updated Mar 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.127215 Issued in OH
Practice address
4011 N 51St Ave
Phoenix, AZ 85031-2601
Phone
(623) 344-6900
NPI assigned
Jul 16, 2012
Last updated
Mar 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5315060606 MI
Pediatrics Physician 208000000X 35.127215 OH Primary

Addresses

Primary practice location

4011 N 51St Ave
Phoenix, AZ 85031-2601

Mailing address

4011 N 51St Ave
Phoenix, AZ 85031-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.127215OHMDPediatrics Physician
5315060606MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Loop Pediatrics, PA Pediatrics Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vkhetarpal125774@direct.valleywisehealth.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1245585280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 N 51ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 N 51ST AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312601",
            "telephone_number": "623-344-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHETARPAL",
        "first_name": "VAISHALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5315060606",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.127215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.