Individual provider Active NPI

Christine Mazzola Khandelwal, MD

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1265639207
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009-00091 Issued in NC
Practice address
110 Kildaire Park Dr
Cary, NC 27518-8162
Phone
(919) 235-6575
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 2009-00091 NC
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2009-00091 NC
Family Medicine Physician 207Q00000X 2009-00091 NC Primary

Addresses

Primary practice location

110 Kildaire Park Dr
Cary, NC 27518-8162

Mailing address

PO Box 602195
Charlotte, NC 28260-2195
Phone (919) 350-0351

Other practice location 1

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-7161

Other practice location 2

215 Brightwater Dr
Lillington, NC 27546-5156
Phone (910) 892-1000

Other identifiers 1

IdentifierTypeStateIssuer
1265639207MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000808 NC Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 1052469335 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Hospice/Palliative Care
Education
Lake Erie College of Osteopathic Medicine, Erie, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell University Health Center LLCGroup PAC ID 1254586308, 9 clinicians

Practice addresses (Care Compare)

129 TT Lanier St
Buies Creek, NC 27506
Phone (910) 893-1560

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Jan 14, 2024 Accepting new patients
Lillington Medical Services, LLC Family Medicine CurrentSince Jan 14, 2024 Accepting new patients
Wake Specialty Physicians, LLC Family Medicine Current Accepting new patients
North Carolina Nephrology PA CurrentSince Nov 1, 2022 Accepting new patients
Hospice of Wake County, Inc. Family Medicine Current Accepting new patients
Dunn Medical Services LLC Family Medicine CurrentSince Jan 14, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 14, 2024 Accepting new patients
Wake Specialty Physicians LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
North Carolina Nephrology PA CurrentSince Nov 1, 2022 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Oct 1, 2023 Accepting new patients
Campbell University Health Center, LLC Family Medicine CurrentSince Mar 8, 2026 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine Past Accepting new patients

Locations

790 SE Cary Pkwy
Ste 101
Cary, NC 27511
Phone (919) 235-0644

110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616

803 Tilghman Dr
Ste 100
Dunn, NC 28334
Phone (910) 892-1091

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

145 Tilghman Dr
Ste 300
Dunn, NC 28334
Phone (910) 891-5437

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

916 S Main St
Ste 240
Fuquay Varina, NC 27526
Phone (919) 235-0644

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

7 E Duncan St
Lillington, NC 27546
Phone (910) 814-1212

216 N Bickett Blvd
Ste 5
Louisburg, NC 27549
Phone (919) 496-6922

3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409

3604 Bush St
Raleigh, NC 27609

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890

1559 E Booker Dairy Rd
Ste B
Smithfield, NC 27577

2824 Rogers Rd
Ste 104
Wake Forest, NC 27587

Interoperability endpoints

  • Direct secure messaging: ckhandelwal116394@capefearvalley.direct-ci.com
  • Direct secure messaging: ckhandelwal39589@directhisp.wakemed.org
  • Direct secure messaging: christine.khandelwal.1@22709.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1265639207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602195",
            "telephone_number": "919-350-0351",
            "fax_number": "919-350-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KILDAIRE PARK DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188162",
            "telephone_number": "919-235-6575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Tilghman Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283345510",
            "country_code": "US",
            "telephone_number": "910-892-7161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Brightwater Dr",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-892-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANDELWAL",
        "first_name": "CHRISTINE",
        "middle_name": "MAZZOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2009-00091",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NC",
            "license": "2009-00091",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-00091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265639207",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.