DR. SHOBHA KHANDELWAL M.D. NPI 1083609622

NPI Information

  • NPI: 1083609622
  • Provider Name: DR. SHOBHA KHANDELWAL, M.D.
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 970 E WASHINGTON ST
    STE-2F
    MEDINA, OH
    ZIP 44256
  • Phone: (330) 723-7999

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NPI Details

DR. Shobha Khandelwal, M.D. is a geriatric medicine internal medicine in Medina, OH with 50 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Shobha Khandelwal, M.D. NPI is 1083609622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

970 E WASHINGTON ST
STE-2F
MEDINA, OH
ZIP 44256-332
Phone: (330) 723-7999
Fax: (330) 764-9907

The NPI 1083609622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Hemoglobin a1c level (HCPCS:83036)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)

The enumeration date for this NPI number is 9/20/2005 and was last updated on 11/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine054767KOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1KH0665891MEDICARE ID-TYPE UNSPECIFIED
20788750MEDICAIDOHIO
3E54688MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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