Active NPI
Nikhila Khandwala
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1855 W Taylor St
Chicago, IL 60612-7242 - Phone
- (312) 996-7774
- Fax
- (312) 996-7770
- NPI assigned
- May 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1855 W Taylor St
Chicago, IL 60612-7242
Mailing address
1855 W Taylor St
Chicago, IL 60612-7242
Phone (312) 996-7774
Other practice location 1
111 N Ashley St Ste 401
Ann Arbor, MI 48104-1775
Phone (248) 752-7911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Michigan Medical School, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Duke Medicine Cir
Durham, NC 27710-3810
Phone (919) 684-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
2000 Regency Pkwy
Cary, NC 27518
Phone (919) 238-0008
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
234 Crooked Creek Pkwy
Ste 100
Durham, NC 27713
2351 Erwin Rd
Durham, NC 27705
Phone (919) 282-0053
5601 Arringdon Park Dr
Morrisville, NC 27560
Phone (888) 275-3853
3480 Wake Forest Rd
Ste 300
Raleigh, NC 27609
Phone (919) 862-5380
Interoperability endpoints
- nkhandwala115452@uihealth.direct-ci.com
Organizations & group practices 1
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1952967523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1855 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127242",
"telephone_number": "312-996-7774",
"fax_number": "312-996-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127242",
"telephone_number": "312-996-7774",
"fax_number": "312-996-7770"
}
],
"practiceLocations": [
{
"address_1": "111 N Ashley St Ste 401",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481041775",
"country_code": "US",
"telephone_number": "248-752-7911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANDWALA",
"first_name": "NIKHILA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-19",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.
- 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.