Khandurao Bhanudas Khot, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

92658 Issued in GA

Practice address

450 Northside Cherokee Blvd
Canton, GA 30115-8015

Phone

(770) 224-1000

Fax

(770) 224-2451

NPI assigned

Oct 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Internal Medicine

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Granbury Hospital-Based Professional ServicesGroup PAC ID 3971940966, 69 clinicians

Brazos Physician Services, PAGroup PAC ID 8224501283, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Merit-based Incentive Payment System (MIPS)

Final score

98.79 of 100Reported as group

Quality

98.74

Improvement activities

40

Cost

83.11

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

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.

• Lake Granbury Hospital-Based Professional Services

  • Emergency Medicine Physician
  • Granbury, TX
  • NPI 1689443467

  Hospitalist

  Medicare reassignment Care Compare group NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1053767897
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD
• Granbury Hospital Corporation

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  NPD (past)
• Texas Health Harris Methodist Hospital Azle

  • General Acute Care Hospital
  • Azle, TX
  • NPI 1508899204
  NPD (past)
• Wentworth Douglass Physician Corporation

  • Diagnostic Radiology Physician
  • Somersworth, NH
  • NPI 1295326494
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Granbury Hospital Corporation

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1568614816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NORTHSIDE CHEROKEE BLVD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NORTHSIDE CHEROKEE BLVD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158015",
            "telephone_number": "770-224-1000",
            "fax_number": "770-224-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOT",
        "first_name": "KHANDURAO",
        "middle_name": "BHANUDAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-17",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "55936",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "55936",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "92658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30209261",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00901270",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434951299",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Haisley Kesler, PHARM.D
• Alexander Tkeshelashvili Kessler, M.D.
• Lauren Kettler
• Sallie Key, FNP
• Madiha Iqbal Khan, M.D.
• Ruchir K. Khurana, M.D.
• Saima Khurram, MD
• Kichcare LLC
• Amanda Kathleen Kidd, CCC-SLP
• Virginia E Killian, RPH

• Hospitalist Physician in Canton, GA
• Providers in Canton, GA by specialty
• Hospitalist Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.