Individual provider Active NPI

Raj M Khandwalla, MD

  • Cardiovascular Disease Physician
  • Beverly Hills, CA
National Provider Identifier
1487816211
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A121064 Issued in CA
Practice address
250 N Robertson Blvd
#403
Beverly Hills, CA 90211-1788
Phone
(310) 385-3496
Fax
(310) 967-1800
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A121064 CA Primary

Addresses

Primary practice location

250 N Robertson Blvd
#403
Beverly Hills, CA 90211-1788

Mailing address

PO Box 54679
Los Angeles, CA 90054-0679
Phone (781) 696-5771

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
I20120726000678 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8224214887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Tufts University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

250 N Robertson Blvd
Suite 606
Beverly Hills, CA 90211-1793
Phone (310) 385-3228

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

8670 Wilshire Blvd
Beverly Hills, CA 90211-2930

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-1447

8723 Alden Dr
Suite 260
Los Angeles, CA 90048-1804
Phone (310) 248-8299

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A121064CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2012 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8820 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211

250 N Robertson Blvd
Ste 403
Beverly Hills, CA 90211
Phone (310) 385-3496

8501 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 247-9614

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8631 W 3rd St
Ste 635E
Los Angeles, CA 90048
Phone (310) 248-8245

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: rkhandwalla180676@direct.cshs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1487816211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540679",
            "telephone_number": "781-696-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD",
            "address_2": "#403",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111788",
            "telephone_number": "310-385-3496",
            "fax_number": "310-967-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDWALLA",
        "first_name": "RAJ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A121064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.