NPIMap

Individual provider Active NPI

Emil Mitter Kheterpal, MD

  • Urology Physician
  • Raleigh, NC
National Provider Identifier
1437369691
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
262361 Issued in NY
Practice address
3821 Ed Drive
Raleigh, NC 27612
Phone
(918) 863-9441
Fax
(919) 863-9442
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 262361 NY Primary

Addresses

Primary practice location

3821 Ed Drive
Raleigh, NC 27612

Mailing address

3821 Ed Drive
Raleigh, NC 27612
Phone (918) 863-9441

Other identifiers 1

IdentifierTypeStateIssuer
03431394MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151027001313 NC Practitioner - Urology 1557533619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Boston University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Centers for Advanced Urology LLPGroup PAC ID 3274800941, 142 clinicians
Associated Urologists of North Carolina PAGroup PAC ID 9537341268, 29 clinicians

Practice addresses (Care Compare)

110 Capcom Ave
Suite 201
Wake Forest, NC 27587-6531
Phone (919) 758-8677

3821 Ed Dr
Raleigh, NC 27612-8038
Phone (919) 758-8677

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173
  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262361NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Urologists of North Carolina PA Urology CurrentSince Oct 1, 2015 Accepting new patients
Associated Urologists of North Carolina PA Urology CurrentSince Oct 1, 2015 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Aug 1, 2025 Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Aug 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Kildaire Park Dr
Ste 500
Cary, NC 27518
Phone (919) 467-3203

3821 Ed Dr
Raleigh, NC 27612
Phone (919) 758-8677

110 Capcom Ave
Ste 201
Wake Forest, NC 27587
Phone (919) 554-8539

Interoperability endpoints

  • Direct secure messaging: emil.kheterpalmd.p1@direct.associatedurologists.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1437369691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 ED DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "918-863-9441",
            "fax_number": "919-863-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 ED DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27612",
            "telephone_number": "918-863-9441",
            "fax_number": "919-863-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHETERPAL",
        "first_name": "EMIL",
        "middle_name": "MITTER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "262361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03431394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.