Active NPI
Eugene Khandros, MD, PHD
- Pediatric Hematology & Oncology Physician
- Philadelphia, PA
National Provider Identifier
1831431618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- MT210281
- Practice address
- 3500 Civic Center Blvd
Philadelphia, PA 19104-4395 - Phone
- (215) 590-3535
- Fax
- (267) 426-9892
- NPI assigned
- Mar 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | MT210281 | PA | Primary |
Addresses
Primary practice location
3500 Civic Center Blvd
Philadelphia, PA 19104-4395
Mailing address
3615 Civic Center Blvd
Abramson Research Center 315a
Philadelphia, PA 19104
Phone (215) 590-3535
Other names 1
- Yevgeniy Khandros
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT210281 | PA | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care Associates, Inc | Current | Accepting new patients | |
| Childrens Health Care Associates | Current | Accepting new patients | |
| Childen'S Health Care Associates Inc. | Current | Accepting new patients | |
| Childrens Hospital of Philadelphia | Past | Accepting new patients | |
| Childrens Health Care Associates of New Jersey PC | Past | Accepting new patients |
Locations
100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232
3401 Civic Center Blvd
Philadelphia, PA 19104
Phone (215) 590-4040
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1598869059
-
- Pediatric Registered Nurse
- Philadelphia, PA
- NPI 1699860643
-
- Pediatric Hospice and Palliative Medicine Physician
- Philadelphia, PA
- NPI 1528153574
-
- Children's Hospital
- Philadelphia, PA
- NPI 1215921457
-
- Pediatrics Physician
- Voorhees, NJ
- NPI 1427152917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1831431618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 CIVIC CENTER BLVD",
"address_2": "ABRAMSON RESEARCH CENTER 315A",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-3535",
"fax_number": "267-426-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 CIVIC CENTER BLVD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044395",
"telephone_number": "215-590-3535",
"fax_number": "267-426-9892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANDROS",
"first_name": "EUGENE",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-20",
"last_updated": "2021-11-15",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "PA",
"license": "MT210281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YEVGENIY",
"last_name": "KHANDROS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.