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MUKUL KHANDELWAL PSYD
NPI 1104644921
Psychologist - Clinical in Seattle, WA

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment
5350 TALLMAN AVE NW STE 301, SEATTLE, WA 98107(206) 320-3335(206) 320-8027 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2025, Feb 17, 2025, Feb 11, 2025 and 2 more (5 updates tracked since 2024).

About Mukul Khandelwal Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUKUL KHANDELWAL PSYD (NPI 1104644921) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY61602836) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104644921
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMUKUL KHANDELWALCredential: PSYD
Location Address5350 TALLMAN AVE NW STE 301Seattle, WA 98107-5902
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Phone(206) 320-3335
Fax(206) 320-8027
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 1, 2024
Last NPPES UpdateApril 4, 20255 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1104644921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY61602836
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5350 TALLMAN AVE NW STE 301, Seattle, WA 98107
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Secondary Practice Location 1

Location 11730 Minor Ave Ste 400Seattle, WA 98101-2402 · Phone (206) 320-2961 · Fax (206) 710-9013

Other Identifiers 1

Medicaid2311726WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mukul Khandelwal Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224564927
PECOS Enrollment IDI20241204003905
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mukul Khandelwal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swedish Health Services
4.4 mi
Family Medicine
1600 7TH AVE STE 110
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 663 clinicians in this Medicare group
NPI 1073553947 (206) 267-4390

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH ACKERMAN MARN PHARM.D.
Pharmacist
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107
King County (206) 320-8013
LEAH ELISABETH KARLSEN MD
Internal Medicine
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107
King County (206) 386-2550
NATALIE N TALBOTT MD
Internal Medicine
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107
King County (206) 320-3335
MRS. BONNIE JEAN HABERZETLE PA-C
Physician Assistant
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107
King County (541) 515-2664
NICOLA JEAN RENTSCHLER MD
Family Medicine
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107
King County (206) 320-3335
KATHERINE VALERA CAMPICHE RN
Registered Nurse
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107
King County (206) 320-3335
ALICE F BURDEN
Physician Assistant
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107
King County (206) 320-3335
ALANA R SCHEIBE ARNP
Nurse Practitioner
5350 TALLMAN AVE NW STE 301
SEATTLE, WA 98107
King County (206) 386-2550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mukul Khandelwal's NPI number?

The NPI number for Mukul Khandelwal is 1104644921. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Mukul Khandelwal located?

Mukul Khandelwal practices at 5350 Tallman Ave NW Ste 301, Seattle, WA 98107. The listed phone number is (206) 320-3335.

What is Mukul Khandelwal's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mukul Khandelwal enrolled in Medicare?

Yes. Mukul Khandelwal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mukul Khandelwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mukul Khandelwal reassigns Medicare benefits to Swedish Health Services (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mukul Khandelwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mukul Khandelwal accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mukul Khandelwal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mukul Khandelwal was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.