Active NPI
Khandagle Medical Associates, P.a.
- Internal Medicine Physician
- Silver Spring, MD
National Provider Identifier
1881677557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D61067
- Legal business name
- KHANDAGLE MEDICAL ASSOCIATES, P.A.
- Practice address
- 831 University Blvd E
Suite 25
Silver Spring, MD 20903-2916 - Phone
- (301) 439-1200
- Fax
- (301) 439-5883
- NPI assigned
- Nov 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura D Khandagle, M.D.
- Title
- President
- Phone
- (301) 439-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D61067 | MD | Primary |
Addresses
Primary practice location
831 University Blvd E
Suite 25
Silver Spring, MD 20903-2916
Mailing address
PO Box 2735
Laurel, MD 20709-2735
Phone (301) 439-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/DIFBCA
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1881677557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2735",
"city": "LAUREL",
"state": "MD",
"postal_code": "207092735",
"telephone_number": "301-439-1200",
"fax_number": "301-439-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 UNIVERSITY BLVD E",
"address_2": "SUITE 25",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209032916",
"telephone_number": "301-439-1200",
"fax_number": "301-439-5883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHANDAGLE MEDICAL ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KHANDAGLE",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-439-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D61067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.