NPIMap

Organization Active NPI

Mukul Khandelwal, PA

  • Gastroenterology Physician
  • Glen Burnie, MD
National Provider Identifier
1316969256
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0052387 Issued in MD
Legal business name
MUKUL KHANDELWAL, PA
Practice address
85 Kindred Way
Suite 201
Glen Burnie, MD 21061-5249
Phone
(410) 590-8920
Fax
(410) 799-9331
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Mukul Khandelwal, MDNPI 1871595942
Title
President
Phone
(410) 590-8920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X D0052387 MD Primary

Addresses

Primary practice location

85 Kindred Way
Suite 201
Glen Burnie, MD 21061-5249

Mailing address

PO Box 8416
Elkridge, MD 21075-7500
Phone (410) 590-8920

Other practice location 1

8186 Lark Brown Rd Ste 104
Elkridge, MD 21075-6437
Phone (410) 590-8920

Other names 1

  • Gastro Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040720000165 MD Part B Supplier - Clinic/Group Practice 7416936620 Receives reassigned benefits from 21 practitioners
Practice locations: Elkridge, MD; Glen Burnie, MD; Pasadena, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2030633Gastro Associates85 Kindred Way #201, Glen Burnie, MD 21061ComplianceApr 9, 2028

National Provider Directory

National Provider Directory

Locations

85 Kindred Way
Apt 201
Glen Burnie, MD 21061
Phone (410) 355-2244

1720 Crain Hwy S
Ste 102
Glen Burnie, MD 21061
Phone (410) 590-8920

8109 Ritchie Hwy
Pasadena, MD 21122
Phone (410) 590-8750

8028 Ritchie Hwy
Ste 142
Pasadena, MD 21122
Phone (410) 590-8920

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1316969256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8416",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757500",
            "telephone_number": "410-590-8920",
            "fax_number": "410-553-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KINDRED WAY",
            "address_2": "SUITE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615249",
            "telephone_number": "410-590-8920",
            "fax_number": "410-799-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8186 Lark Brown Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210756437",
            "country_code": "US",
            "telephone_number": "410-590-8920",
            "fax_number": "410-553-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MUKUL KHANDELWAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "KHANDELWAL",
        "authorized_official_first_name": "MUKUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-590-8920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0052387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gastro Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.