Individual provider Active NPI

Reshma Khetpal, MD

  • Hematology & Oncology Physician
  • Hagerstown, MD
National Provider Identifier
1336446020
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0079467 Issued in MD
Practice address
11110 Medical Campus Rd Ste 130
Hagerstown, MD 21742
Phone
(301) 665-4710
NPI assigned
Feb 16, 2011
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TP618 KY
Hematology & Oncology Physician 207RH0003X 0101249093 VA
Hematology & Oncology Physician 207RH0003X D0079467 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 130
Hagerstown, MD 21742

Mailing address

11110 Medical Campus Rd Ste 130
Hagerstown, MD 21742-6799

Other practice location 1

3200 Crain Hwy
Suite 302
Waldorf, MD 20603-4841
Phone (301) 638-1007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110505000824 VA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9335322122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2002
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
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
WPS Providers IncGroup PAC ID 7719079532, 83 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

671 Hwy 58 E
Norton, VA 24273-3007
Phone (276) 679-5874

743 Island Rd
Bristol, VA 24201-7403
Phone (276) 469-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP618KYMDInternal Medicine Physician
D0079467MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WPS Providers Inc CurrentSince Jan 1, 2023 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jul 8, 2022 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jul 8, 2022 Accepting new patients
Wellmont Health System Current Accepting new patients
Cancer and Blood Disorders Treatment Center LLC PastSince Jul 1, 2022 Accepting new patients
Apogee Medical Group Kentucky PSC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Amayas Behavioral Health PastSince Apr 3, 2023 Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine Past Accepting new patients

Locations

24530 Falcon Place Blvd
Ste 100
Abingdon, VA 24211
Phone (276) 619-0075

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

743 Island Rd
Bristol, VA 24201
Phone (276) 469-4200

671 Highway 58 E
Norton, VA 24273
Phone (276) 679-5874

Interoperability endpoints

  • Direct secure messaging: rkhetpal300944@balladhealth.medalliesdirect.net

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 3

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1336446020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 130",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 130",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "301-665-4710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Crain Hwy",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206034841",
            "country_code": "US",
            "telephone_number": "301-638-1007",
            "fax_number": "301-638-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHETPAL",
        "first_name": "RESHMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "TP618",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101249093",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0079467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.