Individual provider Active NPI

Deepali Khadka, MD

  • Internal Medicine Physician
  • Mount Dora, FL
National Provider Identifier
1386707735
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DC958Z Issued in FL
Practice address
18550 US Highway 441
Mount Dora, FL 32757-6751
Phone
(352) 735-3755
Fax
(352) 383-1162
NPI assigned
Dec 18, 2006
Last updated
Oct 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DC958Z FL Primary

Addresses

Primary practice location

18550 US Highway 441
Mount Dora, FL 32757-6751

Mailing address

18550 US Highway 441
Ste a
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100614000382 FL Practitioner - Internal Medicine 3072577998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18550 US Hwy 441
Mount Dora, FL 32757-6751
Phone (352) 735-3755

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DC958ZFLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians of Central Florida PA Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients
Physicians of Central Florida, LLC Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients

Locations

18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755

18550 US Highway 441
Ste A
Mount Dora, FL 32757
Phone (352) 735-3755

Interoperability endpoints

  • Direct secure messaging: dkhadka563713@direct.shands.ufl.edu

Organizations & group practices 2

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 4

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1386707735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "address_2": "STE A",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755",
            "fax_number": "352-383-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576751",
            "telephone_number": "352-735-3755",
            "fax_number": "352-383-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADKA",
        "first_name": "DEEPALI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "DC958Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.