Individual provider Active NPI

Charanpreet Kaur Khangura, DO

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1821585001
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101026650 Issued in MI
Practice address
20001 W 7 Mile Rd
Detroit, MI 48219-3403
Phone
(313) 794-5111
Fax
(313) 794-5153
NPI assigned
Apr 13, 2018
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69010 CT
Internal Medicine Physician 207R00000X 5101026650 MI Primary
Hospitalist Physician 208M00000X 69010 CT

Addresses

Primary practice location

20001 W 7 Mile Rd
Detroit, MI 48219-3403

Mailing address

20001 W 7 Mile Rd
Detroit, MI 48219-3403
Phone (313) 794-5111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220623003082 MI Practitioner - Internal Medicine 0143622290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated Physicians Group of Michigan, PLLCGroup PAC ID 1153735287, 13 clinicians

Practice addresses (Care Compare)

20001 W 7 Mile Rd
Detroit, MI 48219-3403
Phone (313) 794-5111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Michigan PLLC PastSince Mar 28, 2021 Accepting new patients
Cloud Health Medical Group, P.a. Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charanpreet.khangura@xdr.hhchealthdirect.org
  • Direct secure messaging: ckhangura1134621@direct.hfhs.org
  • Direct secure messaging: ckhangura64710@middlesexhealthprd.direct-ci.com

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1821585001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111",
            "fax_number": "313-794-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20001 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193403",
            "telephone_number": "313-794-5111",
            "fax_number": "313-794-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANGURA",
        "first_name": "CHARANPREET",
        "middle_name": "KAUR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "69010",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101026650",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "69010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.