Individual provider Active NPI

Panchali Khanna, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fresno, CA
National Provider Identifier
1477676286
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A112116 Issued in CA
Practice address
1243 E Spruce Ave
Ste 104
Fresno, CA 93720-3379
Phone
(559) 554-9442
Fax
(559) 293-4969
NPI assigned
Apr 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301083133 MI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A112116 CA Primary

Addresses

Primary practice location

1243 E Spruce Ave
Ste 104
Fresno, CA 93720-3379

Mailing address

1243 E Spruce Ave
Ste 104
Fresno, CA 93720-3379
Phone (559) 554-9442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20101015000950 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 2860685351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1243 E Spruce Ave
Suite 104
Fresno, CA 93720-3379
Phone (559) 554-9442

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083133MIMDInternal Medicine Physician
A112116CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panchali Khanna MD Endocrinology, Diabetes & Metabolism CurrentSince Sep 26, 2023 Accepting new patients

Locations

6335 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 436-1444

1243 E Spruce Ave
Ste 104
Fresno, CA 93720
Phone (559) 326-7659

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21517/brand/1/csg/1/fhir/r4
  • Direct secure messaging: panchali.khanna.1@21517.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1477676286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 E SPRUCE AVE",
            "address_2": "STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203379",
            "telephone_number": "559-554-9442",
            "fax_number": "559-293-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 E SPRUCE AVE",
            "address_2": "STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203379",
            "telephone_number": "559-554-9442",
            "fax_number": "559-293-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "PANCHALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301083133",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A112116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.