PRASHANT KHETPAL MD
NPI 1215136148
Internal Medicine in Mesa, AZ
About Prashant Khetpal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRASHANT KHETPAL MD (NPI 1215136148) is an individual internal medicine provider in Mesa, Arizona, licensed in Washington (129407) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Prashant Khetpal Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Prashant Khetpal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scottsdale, AZ 85254
- Reassigned Medicare billing, Virginia enrollment
- 121 clinicians in this Medicare group
Benton, AR 72015
- Reassigned Medicare billing, Arkansas enrollment
- 63 clinicians in this Medicare group
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 58 clinicians in this Medicare group
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
Vienna, VA 22180
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1669511051 (District of Columbia)
- 2,379 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital
Acute Care Hospitals · Silver Spring, MDHoly Cross Germantown Hospital
Acute Care Hospitals · Germantown, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MESA, AZ 85206
MESA, AZ 85206
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 Prashant Khetpal's NPI number?
The NPI number for Prashant Khetpal is 1215136148. It was assigned to this individual provider in the NPPES registry on July 11, 2007.
Where is Prashant Khetpal located?
Prashant Khetpal practices at 6644 E Baywood Ave, Mesa, AZ 85206. The listed phone number is (602) 778-3600.
What is Prashant Khetpal's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prashant Khetpal enrolled in Medicare?
Yes. Prashant Khetpal 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 organizations bill Medicare for Prashant Khetpal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prashant Khetpal reassigns Medicare benefits to 5 organizations: Apogee Medical Group Virginia, PC (Scottsdale, AZ), Saline Clinics LLC (Benton, AR), Southeast Arkansas Hospitalists, LLP (Pine Bluff, AR), Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA) and Inova Health Care Services (Vienna, VA). Each 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 Prashant Khetpal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Prashant Khetpal affiliated with any hospitals?
According to CMS data, Prashant Khetpal is affiliated with Holy Cross Hospital and Holy Cross Germantown Hospital.
When was this NPI record last updated?
The NPPES record for Prashant Khetpal was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Prashant Khetpal, MD · NPI 1215136148
Internal Medicine physician in Mesa, Arizona. Individual provider, active in the CMS NPPES registry since July 11, 2007.
## Identity
- **NPI:** 1215136148 (Entity type: Individual)
- **Enumerated:** July 11, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 129407 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 6644 E BAYWOOD AVE, Mesa, AZ 85206-1747
- **Phone:** (602) 778-3600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Apogee Medical Group Virginia, PC (NPI 1861660540, Scottsdale, AZ); Saline Clinics LLC (NPI 1447609367, Benton, AR); Southeast Arkansas Hospitalists, LLP (NPI 1912374018, Pine Bluff, AR); Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA); Inova Health Care Services (NPI 1275886418, Vienna, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** February 4, 2022
- **Other identifiers:** Other 000000544849 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1215136148) · Data from the CMS NPPES public registry.