Active NPI
Ashish Khanal
- Diagnostic Radiology Physician
- Bangor, ME
National Provider Identifier
1881233765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD28207
- Practice address
- 489 State St
Bangor, ME 04401-6616 - Phone
- (207) 482-7800
- Fax
- (207) 482-7898
- NPI assigned
- Dec 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | MD28207 | ME | Primary |
Addresses
Primary practice location
489 State St
Bangor, ME 04401-6616
Mailing address
324 Gannett Dr Ste 200
South Portland, ME 04106-3266
Phone (072) 482-7800
Other practice location 1
750 E Adams St
Syracuse, NY 13210-1834
Phone (315) 464-5189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241122003600 | ME | Practitioner - Diagnostic Radiology | 6406381797 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
489 State St
Bangor, ME 04401-6616
Phone (207) 973-8305
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
- Northern Light Maine Coast Hospital
- St Joseph Hospital
- Northern Light Blue Hill Memorial Hospital
- Northern Light Mayo Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Partners, PA | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Healthcare Partners, P.a. | Current | Accepting new patients | |
| Insight-Premier Health LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
324 Gannett Dr
Ste 200
South Portland, ME 04106
Phone (207) 482-7861
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1710993159
Diagnostic Radiology, ME
-
- Diagnostic Radiology Physician
- Bangor, ME
- NPI 1922655562
Diagnostic Radiology
-
- Anatomic Pathology & Clinical Pathology Physician
- Portland, ME
- NPI 1386757607
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1881233765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 GANNETT DR STE 200",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063266",
"telephone_number": "072-482-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016616",
"telephone_number": "207-482-7800",
"fax_number": "207-482-7898"
}
],
"practiceLocations": [
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101834",
"country_code": "US",
"telephone_number": "315-464-5189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANAL",
"first_name": "ASHISH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-25",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ME",
"license": "MD28207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.