Individual provider Active NPI

Archana Khedkar, RD

  • Registered Dietitian
  • Troy, MI
National Provider Identifier
1902475585
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1168 Falcon Dr
Troy, MI 48098-2037
Phone
(248) 635-5390
NPI assigned
Jun 18, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1168 Falcon Dr
Troy, MI 48098-2037

Mailing address

1168 Falcon Dr
Troy, MI 48098-2037
Phone (248) 635-5390

Other names 1

  • Mrs. Archana Khedkar Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Other Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 W 22ND St
Suite 200
Oak Brook, IL 60523-1563

5280 Metropolitan Pkwy
Sterling Heights, MI 48310-4005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1902475585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 FALCON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982037",
            "telephone_number": "248-635-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 FALCON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480982037",
            "telephone_number": "248-635-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEDKAR",
        "first_name": "ARCHANA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1168 Falcon Dr",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480982037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARCHANA",
            "last_name": "KHEDKAR",
            "prefix": "MRS.",
            "credential": "RD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.