Bal Krishna Khandelwal, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

E9266 Issued in TX

Practice address

Primary Care Clinic of North Texas (Charity Clinic)
3900 American Drive, #201
Plano, TX 75075

Phone

(972) 596-6005

Fax

(972) 596-6004

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: bal.khandelwal.1@20496.direct.athenahealth.com

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.

• Midland County Hospital District

  dba Midland Memorial Hospital

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1346348919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 MARTINOVE STREET",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "432-352-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PRIMARY CARE CLINIC OF NORTH TEXAS (CHARITY CLINIC)",
            "address_2": "3900 AMERICAN DRIVE, #201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-596-6005",
            "fax_number": "972-596-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDELWAL",
        "first_name": "BAL",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "E9266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "82Z930",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085583501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shazia Khan, MD
• Tahira N/a Khan
• Uswah Khan, MOT-OTR
• Zain Khan, PHARMD, RPH, MBA
• Zeshan Malik Khan, D.O
• Josephine Khandker
• Natalie Khariv, FNP
• Vaibhav Chandra Khasgiwala, MD, MPH
• Asma Khatoon, M.D.
• Parth Mahendrabhai Khatsuria, DDS

• Rheumatology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.