Individual provider Active NPI

Niki Khandheria

  • Pediatrics Physician
  • Columbus, OH
National Provider Identifier
1851978142
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.153894 Issued in OH
Practice address
4919 Dierker Rd
Columbus, OH 43220-2946
Phone
(614) 457-4952
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.153894 OH Primary

Addresses

Primary practice location

4919 Dierker Rd
Columbus, OH 43220-2946

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other identifiers 1

IdentifierTypeStateIssuer
0135084MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250825000889 OH Practitioner - Pediatric Medicine 1759827926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Childrens Dr
Columbus, OH 43205-2639

700 Childrens Dr
Columbus, OH 43205-2664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.153894OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Community Practices, LLC Pediatrics CurrentSince Oct 6, 2025 Accepting new patients
Messick & Thompson MDS Pediatrics PastSince Jul 22, 2025 Accepting new patients

Locations

1264 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-6801

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

4919 Dierker Rd
Upper Arlington, OH 43220
Phone (614) 457-4952

Organizations & group practices 2

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1851978142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 DIERKER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202946",
            "telephone_number": "614-457-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANDHERIA",
        "first_name": "NIKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.153894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135084",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.