Individual provider Active NPI

Achyut Khanal, MD

  • Internal Medicine Physician
  • Far Rockaway, NY
National Provider Identifier
1750185948
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P131404 Issued in NY
Practice address
529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone
(718) 327-7307
Fax
(718) 327-3294
NPI assigned
Apr 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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 P131404 NY Primary

Addresses

Primary practice location

529 Beach 20TH St
Far Rockaway, NY 11691-3615

Mailing address

529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone (718) 327-7307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251114000757 NY Practitioner - Internal Medicine 5496246761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Broadway
Brooklyn, NY 11211-6130

44 Nassau Dr
Great Neck, NY 11021-1441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P131404NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nys Medical Associate PLLC Internal Medicine CurrentSince Oct 1, 2025 Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1750185948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913615",
            "telephone_number": "718-327-7307",
            "fax_number": "718-327-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913615",
            "telephone_number": "718-327-7307",
            "fax_number": "718-327-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANAL",
        "first_name": "ACHYUT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "P131404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.