Active NPI
Christine Mazzola Khandelwal, MD
- Family Medicine Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009-00091
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265639207 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090423000808 | NC | Practitioner - Family Practice | 1052469335 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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 LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Lillington Medical Services, LLC | Family Medicine | Current | Accepting new patients |
| Wake Specialty Physicians, LLC | Family Medicine | Current | Accepting new patients |
| North Carolina Nephrology PA | Current | Accepting new patients | |
| Hospice of Wake County, Inc. | Family Medicine | Current | Accepting new patients |
| Dunn Medical Services LLC | Family Medicine | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Family Medicine | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| North Carolina Nephrology PA | Current | Accepting new patients | |
| Wake Specialty Physicians LLC | Current | Accepting new patients | |
| Campbell University Health Center, LLC | Family Medicine | Current | 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
- ckhandelwal116394@capefearvalley.direct-ci.com
- ckhandelwal39589@directhisp.wakemed.org
- 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.
-
- Family Medicine Physician
- Buies Creek, NC
- NPI 1508117185
Family Medicine, NC
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
NC
-
- Community Based Hospice Care Agency
- Raleigh, NC
- NPI 1518974609
Family Medicine, NC
-
- Family Medicine Physician
- Lillington, NC
- NPI 1770897142
Family Medicine, NC
-
- Hospitalist Physician
- Dunn, NC
- NPI 1124426804
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
-
- Nephrology Physician
- Cary, NC
- NPI 1811492663
-
- Pediatrics Physician
- Fuquay Varina, NC
- NPI 1578334892
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.