NPIMap

Individual provider Active NPI

Ushakiran Khade, MD

  • General Practice Physician
  • Alameda, CA
National Provider Identifier
1699884437
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A51012 Issued in CA
Practice address
1406 Park St # 100
Alameda, CA 94501-4558
Phone
(510) 865-6000
Fax
(510) 865-6066
NPI assigned
Aug 29, 2006
Last updated
Dec 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A51012 CA Primary

Addresses

Primary practice location

1406 Park St # 100
Alameda, CA 94501-4558

Mailing address

1803 Moreland Dr
Alameda, CA 94501-1643
Phone (510) 220-3294

Other identifiers 1

IdentifierTypeStateIssuer
1466135MedicaidCA

Other names 1

  • Kiran Shivaji Khade Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080220000337 CA Practitioner - General Practice 2567546237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1406 Park St
Suite 100
Alameda, CA 94501-4560
Phone (510) 220-3294

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.2 of 100Reported as individual
Quality
86.6
Improvement activities
40
Cost
91.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51012CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balaji Medical Corporation CurrentSince Dec 15, 2007 Accepting new patients
John Khade, MD General Practice PastSince Feb 7, 2021 Accepting new patients
GL Ca Clia LLC Past Accepting new patients

Locations

1406 Park St
Ste 100
Alameda, CA 94501
Phone (510) 220-3294

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1699884437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 MORELAND DR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011643",
            "telephone_number": "510-220-3294",
            "fax_number": "510-865-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 PARK ST # 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014558",
            "telephone_number": "510-865-6000",
            "fax_number": "510-865-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADE",
        "first_name": "USHAKIRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A51012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466135",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRAN",
            "last_name": "KHADE",
            "middle_name": "SHIVAJI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.