Individual provider Active NPI

Meenal Kapoor Kheterpal, MD

  • Dermatology Physician
  • Raleigh, NC
National Provider Identifier
1700013174
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
271678 Issued in NY
Practice address
9650 Strickland Rd Ste 103-279
Raleigh, NC 27615-1902
Phone
(501) 232-1001
Fax
(650) 562-5521
NPI assigned
Jun 12, 2009
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 271678 NY Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 201702399 NC

Addresses

Primary practice location

9650 Strickland Rd Ste 103-279
Raleigh, NC 27615-1902

Mailing address

9650 Strickland Rd Ste 103-279
Raleigh, NC 27615-1902
Phone (501) 232-1001

Other identifiers 1

IdentifierTypeStateIssuer
03649369MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131011000679 NY Practitioner - Dermatology 0143454801 Reassigns benefits to 2 organizations
I20180116000730 NC Practitioner - Dermatology 0143454801
I20240806000291 FL Practitioner - Dermatology 0143454801

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Harrison Dermatology CurrentSince Jan 12, 2015 Accepting new patients
Memorial Dermatology Group Dermatology CurrentSince Jan 12, 2015 Accepting new patients
Direct Dermatology Professionals PC Dermatology Past Accepting new patients

Locations

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000

Interoperability endpoints

  • Direct secure messaging: mkheterpal392157@direct.medicine.duke.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1700013174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 STRICKLAND RD STE 103-279",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151902",
            "telephone_number": "501-232-1001",
            "fax_number": "650-562-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 STRICKLAND RD STE 103-279",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276151902",
            "telephone_number": "501-232-1001",
            "fax_number": "650-562-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHETERPAL",
        "first_name": "MEENAL",
        "middle_name": "KAPOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "271678",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NC",
            "license": "201702399",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03649369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.