NPIMap

Individual provider Active NPI

Anupama Shankar Khandare, M.D.

  • Adult Medicine Physician
  • Cumberland, MD
National Provider Identifier
1255610580
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
D77284 Issued in MD
Practice address
1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone
(240) 964-9200
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6550 NE
Adult Medicine Physician 207QA0505X D77284 MD Primary

Addresses

Primary practice location

1050 W Industrial Blvd
Cumberland, MD 21502-4331

Mailing address

1050 W Industrial Blvd
Cumberland, MD 21502-4331
Phone (240) 964-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140819001781 MD Practitioner - Family Practice 7012134893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

12502 Willowbrook Rd
Suite 680
Cumberland, MD 21502-6620
Phone (240) 964-8921

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6550NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Health Services, LLC CurrentSince Dec 1, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Dec 1, 2022 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jul 14, 2014 Accepting new patients
Upmc Western Maryland Health Services, LLC Family Medicine Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jul 14, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Locations

1050 W Industrial Blvd
Cumberland, MD 21502
Phone (240) 964-9300

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 680
Cumberland, MD 21502
Phone (240) 964-8921

12502 Willowbrook Rd
Ste 580
Cumberland, MD 21502
Phone (301) 723-4218

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

Interoperability endpoints

  • Direct secure messaging: anupama.s.khandare@upmcdirect.com
  • Direct secure messaging: akhandare137306@upmc.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475539200000",
    "number": "1255610580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-964-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W INDUSTRIAL BLVD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024331",
            "telephone_number": "240-964-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDARE",
        "first_name": "ANUPAMA",
        "middle_name": "SHANKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2016-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "6550",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "D77284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.