Individual provider Active NPI

Kenneth F Khandagle, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1508849274
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D61007 Issued in MD
Practice address
831 University Blvd E
Suite 25
Silver Spring, MD 20903-2916
Phone
(301) 439-1200
Fax
(301) 439-5883
NPI assigned
Nov 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 D61007 MD Primary

Addresses

Primary practice location

831 University Blvd E
Suite 25
Silver Spring, MD 20903-2916

Mailing address

PO Box 265
Glenelg, MD 21737-0265
Phone (301) 439-1200

Other identifiers 1

IdentifierTypeStateIssuer
0015300 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040720000155 DC Practitioner - Internal Medicine 8426037631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Khandagle Medical Associates PAGroup PAC ID 5799740627, 2 clinicians

Practice addresses (Care Compare)

12520 Prosperity Dr
Suite 320
Silver Spring, MD 20904-1664
Phone (301) 439-1200

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Holy Cross Home Care and Hospice Home health agency, Silver Spring, MD, CCN 217030
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D61007MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khandagle Medical Associates, P.a. Internal Medicine CurrentSince Oct 1, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

831 University Blvd E
Ste 25
Silver Spring, MD 20903
Phone (301) 439-1200

11886 Healing Way
Ste 505
Silver Spring, MD 20904
Phone (301) 439-1200

12520 Prosperity Dr
Ste 320
Silver Spring, MD 20904
Phone (301) 439-1200

Interoperability endpoints

  • Direct secure messaging: kenneth.khandagle@khandagle.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIFBCA

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 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": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508849274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "GLENELG",
            "state": "MD",
            "postal_code": "217370265",
            "telephone_number": "301-439-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E",
            "address_2": "SUITE 25",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032916",
            "telephone_number": "301-439-1200",
            "fax_number": "301-439-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDAGLE",
        "first_name": "KENNETH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D61007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015300 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.