NPIMap

Individual provider Active NPI

Anand Vardhan Khandelwal, M.D.

  • Internal Medicine Physician
  • Medina, OH
National Provider Identifier
1285629824
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
51224 Issued in OH
Practice address
970 E Washington St
Ste-2F
Medina, OH 44256-3332
Phone
(330) 723-7999
Fax
(330) 764-9907
NPI assigned
Sep 20, 2005
Last updated
Mar 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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 51224 OH Primary
Pulmonary Disease Physician 207RP1001X 051224 OH

Addresses

Primary practice location

970 E Washington St
Ste-2F
Medina, OH 44256-3332

Mailing address

970 E Washington St
Ste-2F
Medina, OH 44256-3332
Phone (330) 723-7999

Other identifiers 2

IdentifierTypeStateIssuer
0667194MedicaidOH
051224OtherOHMEDICAL LICENCE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041216000005 OH Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9032176581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
A and S Khandelwal MD IncGroup PAC ID 1850358300, 6 clinicians

Practice addresses (Care Compare)

970 E Washington St
Suite 2F
Medina, OH 44256-2181
Phone (330) 723-7999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51224OHMDInternal Medicine Physician
051224OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A & S Khandelwal MD Inc Pulmonary Disease CurrentSince Oct 1, 1985 Accepting new patients
The Metrohealth System Current Accepting new patients
Medina Hospital Past Accepting new patients
Progressive Medina LLC Past Accepting new patients
Medina BSD Opco LLC Past Accepting new patients
Brunswick Health & Rehabilitation Center, Inc. Past Accepting new patients
Progressive Rolling Hills, LLC Past Accepting new patients
Willowood Care Center of Brunswick Inc Past Accepting new patients
Medina Operations, LLC Past Accepting new patients

Locations

1000 E Washington St
Medina, OH 44256
Phone (330) 654-1185

970 E Washington St
Ste 2F
Medina, OH 44256
Phone (330) 723-7999

Interoperability endpoints

  • Direct secure messaging: akhandelwal243592@direct.metrohealth.org
  • Direct secure messaging: avkhandelwal@askhandelwal.medentdirect.com

Organizations & group practices 9

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 12

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1285629824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "STE-2F",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-723-7999",
            "fax_number": "330-764-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "STE-2F",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-723-7999",
            "fax_number": "330-764-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDELWAL",
        "first_name": "ANAND",
        "middle_name": "VARDHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "51224",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "051224",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0667194",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENCE #",
            "identifier": "051224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.